Individual provider Active NPI

Scott C Kastning, PA-C

  • Physician Assistant
  • Breckenridge, MI
National Provider Identifier
1013220573
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
302 W Chestnut St
Breckenridge, MI 48615-9579
Phone
(989) 842-3118
Fax
(989) 843-3118
NPI assigned
Jul 26, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MI Primary

Addresses

Primary practice location

302 W Chestnut St
Breckenridge, MI 48615-9579

Mailing address

302 W Chestnut St
Breckenridge, MI 48615-9579
Phone (989) 842-3118

Other identifiers 4

IdentifierTypeStateIssuer
5601005830OtherMIPA LICENSE
1063846OtherMIMCLAREN
1063847OtherMIMCLAREN
0852900280OtherMIBCBSM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101018000567 MI Practitioner - Physician Assistant 6800089368 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center AlmaGroup PAC ID 3375451404, 140 clinicians

Practice addresses (Care Compare)

121 N Pine River St
Ithaca, MI 48847-1039
Phone (989) 875-5111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Gladwin CurrentSince Nov 13, 2020 Accepting new patients
Mymichigan Medical Center Clare CurrentSince Jul 12, 2012 Accepting new patients
Mymichigan Medical Group CurrentSince Aug 12, 2011 Accepting new patients
Mymichigan Medical Center Alma CurrentSince Aug 26, 2010 Accepting new patients
Mymichigan Medical Center Gladwin Physician Assistant CurrentSince Nov 13, 2020 Accepting new patients
Mymichigan Medical Center Alma Past Accepting new patients

Locations

321 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0957

320 E Warwick Dr
Alma, MI 48801
Phone (989) 463-4971

302 W Chestnut St
Breckenridge, MI 48615
Phone (517) 842-3118

602 Beech St
Ste 1100
Clare, MI 48617
Phone (989) 386-9911

609 Quarter St
Gladwin, MI 48624
Phone (989) 246-6371

515 Quarter St
Gladwin, MI 48624
Phone (989) 246-6201

121 N Pine River St
Ithaca, MI 48847
Phone (989) 875-0662

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

2618 W Sugnet Rd
Midland, MI 48640
Phone (989) 633-5237

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

Interoperability endpoints

  • Direct secure messaging: skastning5878@mymichiganhealth.midirect.net

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1013220573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W CHESTNUT ST",
            "city": "BRECKENRIDGE",
            "state": "MI",
            "postal_code": "486159579",
            "telephone_number": "989-842-3118",
            "fax_number": "989-842-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W CHESTNUT ST",
            "city": "BRECKENRIDGE",
            "state": "MI",
            "postal_code": "486159579",
            "telephone_number": "989-842-3118",
            "fax_number": "989-843-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASTNING",
        "first_name": "SCOTT",
        "middle_name": "C",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-26",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE",
            "identifier": "5601005830",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN",
            "identifier": "1063846",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN",
            "identifier": "1063847",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0852900280",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Breckenridge, MI

Sources for this page

Verify at the official NPI Registry.