Michelle R. Croyle, PA-C
NPI 1386255446ActiveIndividual· Physician Assistant, Medical· Park City, UT
Physician Assistant, Medical (PA-C) in Park City, Utah, trained at Loma Linda University School of Medicine (class of 2020). Part D covered 104 prescriptions written in 2024, 88% of them generic.
Overview
| NPI | 1386255446 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Aug 12, 2020 |
| Last updated in NPPES | Oct 11, 2022 |
| Certified by provider | Oct 11, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 13007674-1206 | UT |
| Registered Nurse | 163W00000X | 95160449 | CA |
| Physician Assistant | 363A00000X | — | — |
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) | Enrolled Practitioner - Physician Assistant (UT) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 104 · 107 30-day fills |
|---|---|
| Patients | 72 |
| Total drug cost | $1,237 |
| Generic share | 88% of claims |
Education and affiliations
| Medical school | Loma Linda University School of Medicine |
|---|---|
| Graduation year | 2020 |
| Medicare specialty | Physician Assistant |
Medical group
- Stat MD LLCPark City, UT · 3 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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