Reference #: 3212930841  Dear Edna Michi PA:  Novitas Solutions, Inc. has approved your Change of Information (COI) application.  Medicare Enrollment Information Individual Name: Edna Michi PA Individual Specialty: PHYSICIAN ASSISTANT Individual National Provider Identifier (NPI): 1992293906 Individual Provider Transaction Access Number (PTAN): 1V9161 Individual PTAN Effective Date: September 01, 2021 Employer Legal Business Name (LBN): Valley Med Urgent Care LLC Employer National Provider Identifier (NPI): 1518404631 Employer Provider Transaction Access Number (PTAN): 578343  Please see attachment: