Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Michelle R Prentice, MD

Individual provider Family Medicine Physician · NPI 1912423773

Dr. Michelle R Prentice, MD is a Family Practice in Massena, New York. Qualified in 2017, 9 years ago. Practices with Massena Hospital Inc, a 49-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
9
Licensed in
WI
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

271 Andrews St
Massena, NY 13662-3401
Phone: (315) 769-0027
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 6932 (WI)

Record details

NPI number1912423773
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 14, 2017
Last updated in NPPESJanuary 31, 2024
Certification dateJanuary 31, 2024
Mailing address50 Leroy St, Potsdam, NY 13676-1786

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Massena Hospital Inc — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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