Michelle Fasano, AT, ATC
NPI 1063757219ActiveIndividual· Specialist/Technologist, Athletic Trainer· Fort Campbell, KY
Specialist/Technologist, Athletic Trainer (AT, ATC) in Fort Campbell, Kentucky, licensed in MI, NC, IL and WY, with an NPI issued in November 2012.
Overview
| NPI | 1063757219 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AT, ATC |
| Sole proprietor | Yes |
| NPI issued | Nov 29, 2012 |
| Last updated in NPPES | Oct 16, 2023 |
| Certified by provider | Oct 3, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist/Technologist, Athletic Trainer Primary | 2255A2300X | 2601001564 | MI |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | — | FL |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | 2402 | NC |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | 096004795 | IL |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | 068 | WY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 28 athletic trainers in Fort Campbell · All athletic trainers in Kentucky