MICHELLE KATHLEEN BOZARTH (PA) – Surgical Physician Assistant, NPI 1386847333

MICHELLE KATHLEEN BOZARTH (PA) is a healthcare provider. based in Newport news, Virginia. specializing in Surgical Physician Assistant. They hold the professional credentials PA. They hold a License No. 0110002536 (VA). The NPI Number for MICHELLE KATHLEEN BOZARTH (PA) is 1386847333

Main info

Female
Name
MICHELLE KATHLEEN BOZARTH (PA)
NPI
1386847333
Phone
Not provided
Address
856 J CLYDE MORRIS BLVD
Enumeration Date
7 June 2007
Last Update Date
30 September 2013
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MICHELLE KATHLEEN BOZARTH (PA)

  • 856, J Clyde Morris Boulevard, City Center, Newport News, Newport News City, Virginia, 23601, United States

    SUITE A

    NEWPORT NEWS, VA 236011318

    Phone:

    Type: Mailing

  • Medical Office Building, 12200, Warwick Boulevard, Lakeside, Beaconsdale, Newport News, Newport News City, Virginia, 23601, United States

    SUITE 410

    NEWPORT NEWS, VA 236012344

    Phone: (757) 534-5200

    Fax: (757) 534-5830

    Type: Location

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: 2007-11-05

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
I20071105000218IPhysician AssistantVATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23601)

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Reviews

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Frequently asked questions

Is there an official ID for MICHELLE KATHLEEN BOZARTH (PA) in U.S. healthcare records?
The official identifier for MICHELLE KATHLEEN BOZARTH (PA) is NPI 1386847333.
Would MICHELLE KATHLEEN BOZARTH (PA) appear as active to a payer?
You can treat MICHELLE KATHLEEN BOZARTH (PA) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is MICHELLE KATHLEEN BOZARTH (PA)?
MICHELLE KATHLEEN BOZARTH (PA) is associated with Surgical Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Where in Virginia is MICHELLE KATHLEEN BOZARTH (PA) registered?
Use Newport News, Virginia as the headline location for MICHELLE KATHLEEN BOZARTH (PA) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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