MICHELLE ANN SESTAK (PA-C) – Surgical Physician Assistant, NPI 1508175563

MICHELLE ANN SESTAK (PA-C) is a healthcare provider. based in Riverton, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5707622-1206 (UT). The NPI Number for MICHELLE ANN SESTAK (PA-C) is 1508175563

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
MICHELLE ANN SESTAK (PA-C)
NPI
1508175563
Phone
(801) 254-0309
Address
1756 PARK AVE
Enumeration Date
24 September 2010
Last Update Date
18 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8012139900
Graduation Year
2010 (16 years ago)
PAC ID
9234312034
Group Practice PAC ID
9739403569
Professional Enrollment ID
I20110331000180
Address ID
UT841191407SA1525X2100300

Contacts

Secure Messaging
msestak6304@direct.med.utah.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

1,971 PHYSICIAN ASSISTANT in UT

Provider Addresses for MICHELLE ANN SESTAK (PA-C)

  • 1756 PARK AVE

    RIVERTON, UT 840654701

    Phone: (801) 254-0309

    Fax: (801) 254-1012

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-03-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110331000180IPhysician AssistantUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes7673$0
99213Established patient office or other outpatient visit, 20-29 minutes5655$0
99203New patient office or other outpatient visit, 30-44 minutes2121$0
99204New patient office or other outpatient visit, 45-59 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 84065)

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Provider's Procedures

MICHELLE ANN SESTAK (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTUT81002Urinalysis, manual test3521

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739403569View full group profile
NameSpecialtyState
Family PracticeUT
Internal MedicineUT
P O D I A T R YUT
Physician AssistantUT
Family PracticeUT
Family PracticeMT
Family PracticeUT
Family PracticeUT
Physician AssistantUT
Physician AssistantUT

Reviews

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Frequently asked questions

How is MICHELLE ANN SESTAK (PA-C) identified in CMS data?
CMS-hosted NPPES data lists MICHELLE ANN SESTAK (PA-C) with NPI 1508175563.
Can I rely on MICHELLE ANN SESTAK (PA-C) being an active provider?
As of the registry snapshot, MICHELLE ANN SESTAK (PA-C) is marked active.
What is MICHELLE ANN SESTAK (PA-C)'s specialty?
The listing groups MICHELLE ANN SESTAK (PA-C) with Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What address line appears for MICHELLE ANN SESTAK (PA-C)?
MICHELLE ANN SESTAK (PA-C)'s geographic hint is Riverton, Utah in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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