Individual provider Active NPI

Katrina Anne Weirauch Engle, D.O.

  • Family Medicine Physician
  • Lansing, MI
National Provider Identifier
1013351097
Registry record updated Apr 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101020270 Issued in MI
Practice address
1200 E Michigan Ave
Suite 245-C
Lansing, MI 48912-1800
Phone
(517) 364-5772
Fax
(517) 364-5764
NPI assigned
Apr 22, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101020270 MI Primary

Addresses

Primary practice location

1200 E Michigan Ave
Suite 245-C
Lansing, MI 48912-1800

Mailing address

4511 Sycamore St
Holt, MI 48842-1635

Other names 1

  • Katrina Anne Weirauch Professional name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160729000865 MI Practitioner - Family Practice 8426341371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1200 E Michigan Ave
Lansing, MI 48912-1897

1215 E Michigan Ave
Lansing, MI 48912-1811

800 E Columbia St
Mason, MI 48854-1381

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W Sparrow Hospital Association Family Medicine CurrentSince Aug 1, 2016 Accepting new patients
Edward W. Sparrow Hospital Association Family Medicine CurrentSince Aug 1, 2016 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Edward W Sparrow Hospital Association Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

2900 Hannah Blvd
Ste 204
East Lansing, MI 48823
Phone (517) 336-4590

1200 E Michigan Ave
Ste 245
Lansing, MI 48912
Phone (517) 364-5710

1200 E Michigan Ave
Ste 245C
Lansing, MI 48912
Phone (517) 364-5710

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

1200 E Michigan Ave
Ste 460
Lansing, MI 48912
Phone (517) 364-2097

1200 E Michigan Ave
Ste 245A
Lansing, MI 48912
Phone (517) 364-5710

2909 E Grand River Ave
Ste 202
Lansing, MI 48912
Phone (517) 364-8686

1200 E Michigan Ave
Ste 345
Lansing, MI 48912
Phone (517) 364-5610

800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900

Interoperability endpoints

  • Direct secure messaging: kweirauchengle28348@sparrowdirecthie.org

Organizations & group practices 4

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 4

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": "1366588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366588800000",
    "number": "1013351097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 SYCAMORE ST",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488421635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E MICHIGAN AVE",
            "address_2": "SUITE 245-C",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121800",
            "telephone_number": "517-364-5772",
            "fax_number": "517-364-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEIRAUCH ENGLE",
        "first_name": "KATRINA",
        "middle_name": "ANNE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-22",
        "last_updated": "2013-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101020270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "WEIRAUCH",
            "middle_name": "ANNE",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.