Provider Profile
Michelle Jack, PA-C is a physician assistant practicing in Stony Brook, NY. Medicare claims data shows Michelle provided 43 services to 39 patients. The services billed most often include established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more and x-ray of wrist, minimum of 3 views.
Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it.
License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
STONY BROOK UNIV HOSP 101 NICOLLS ROAD HSC L-4 RM050
Stony Brook, NY 11794
1000 Montauk Hwy
West Islip, NY 11795
43 services · 39 patients · 2 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| X-ray of wrist, minimum of 3 views | Imaging | 73110 |
15 | |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
28 |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Michelle Jack is a physician assistant in Stony Brook, NY. That is the designation recorded for this NPI in the federal registry.
NPI registry
Michelle Jack is listed at Stony Brook Univ Hosp 101 Nicolls Road Hsc L-4 Rm050, Stony Brook, NY 11794. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (631) 444-2478. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
Michelle Jack's National Provider Identifier is 1831631779. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Michelle Jack attended Other, graduating in 2016. This comes from the CMS National Downloadable File.
CMS public data
Michelle Jack has 10 years experience. Calculated from a graduation year of 2016, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Michelle Jack performs imaging including x-ray of wrist, minimum of 3 views, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Michelle Jack. If this is you, claiming it is free.
Guide.md
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.