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

Michelle Wayne

Individual provider Physician Assistant · NPI 1255853321

Michelle Wayne is a Physician Assistant in New York, New York. Qualified in 2017, 9 years ago. Practices with MSKCC Surgery Group, a 365-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
9
Licensed in
NY
In the registry since
2017
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Practice location Address checks out

1275 York Ave
New York, NY 10065
Phone: (212) 639-5494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1275 York Ave, New York, NY 10065 — (212) 639-5494

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 021002 (NY)

Record details

NPI number1255853321
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 11, 2017
Last updated in NPPESSeptember 9, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Mskcc Surgery Group — 365 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Affiliated with 1 hospital, which CMS identifies by certification number only.

Colleagues at MSKCC Surgery Group

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 365 clinicians in the practice; 12 are shown here.

Other providers in New York