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

Mrs. Michelle Leigh Hoopes, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1104173418

Mrs. Michelle Leigh Hoopes, PHYSICIANASSISTANT is a Physician Assistant in Fortuna, California. Qualified in 2012, 14 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2012
Specialties on file
2

Practice location Address checks out

3304 Renner Dr Ste B
Fortuna, CA 95540
Phone: (707) 725-9832
Fax: (707) 725-7247
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 22441 (CA)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1104173418
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedAugust 7, 2012
Last updated in NPPESNovember 3, 2021
Certification dateNovember 3, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

Other providers in Fortuna