Michelle Jack, PA-C
NPI 1831631779 · Physician Assistant · Stony Brook, NY
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michelle Jack, PA-C is a Physician Assistant provider in Stony Brook, NY (NPI 1831631779).
Provider details
- NPI number
- 1831631779
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 020374 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
9 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
43 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 28 | $126 |
| X-Ray of Wrist, Minimum of 3 Views73110 | 15 | $42 |
Typical Medicare-allowed amounts for these services range $42–$126 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl | 31 | 29 |
| Ibuprofen | 25 | 24 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (1)
- 1000 Montauk HwyWest Islip, NY 11795-4927Phone: (631) 376-3000
Registry dates
- Enumerated
- 2016-11-09
- Last updated
- 2019-06-27
Frequently asked questions
- What is Michelle Jack's NPI number?
- Michelle Jack's National Provider Identifier (NPI) is 1831631779, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michelle Jack's specialty?
- Michelle Jack is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Michelle Jack located?
- Michelle Jack's practice location on file with NPPES is Stony Brook Univ Hosp 101 Nicolls Road Hsc L-4 Rm050, Stony Brook, NY 11794-4927.
- What is Michelle Jack's phone number?
- The practice phone number listed in the NPPES registry for Michelle Jack is (631) 444-2478.
- Does Michelle Jack accept Medicare?
- Michelle Jack is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michelle Jack's NPI active?
- Yes — Michelle Jack's NPI (1831631779) is active in the NPPES registry as of the last update on 2019-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.