Individual provider Active NPI

Caitlyn Zeitz

  • Physician Assistant
  • Cadillac, MI
National Provider Identifier
1013664150
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601011046 Issued in MI
Practice address
302 Hobart St
Cadillac, MI 49601-2379
Phone
(231) 876-2644
NPI assigned
Mar 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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 5601011046 MI Primary

Addresses

Primary practice location

302 Hobart St
Cadillac, MI 49601-2379

Mailing address

1425 E 24 Rd
Cadillac, MI 49601-8305
Phone (231) 878-0969

Other practice location 1

400 Hobart St
Cadillac, MI 49601-2331
Phone (231) 876-7200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address caitlyn.zeitz@envisionhealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220315001478 MI Practitioner - Physician Assistant 2961897723 Reassigns benefits to 3 organizations
I20240502003446 TN Practitioner - Physician Assistant 2961897723 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Healthcare Cadillac CurrentSince Mar 15, 2022 Accepting new patients
Munson Healthcare Cadillac CurrentSince Mar 15, 2022 Accepting new patients

Locations

3782 Momentum Pl
Chicago, IL 60689

302 Hobart St
Cadillac, MI 49601
Phone (231) 876-2644

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840

1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317

1110 Sixth St
Traverse City, MI 49684
Phone (231) 392-8400

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1013664150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 E 24 RD",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496018305",
            "telephone_number": "231-878-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 HOBART ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012379",
            "telephone_number": "231-876-2644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Hobart St",
            "address_purpose": "LOCATION",
            "city": "Cadillac",
            "state": "MI",
            "postal_code": "496012331",
            "country_code": "US",
            "telephone_number": "231-876-7200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZEITZ",
        "first_name": "CAITLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601011046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "caitlyn.zeitz@envisionhealth.com",
            "affiliation": "N",
            "address_1": "302 Hobart St",
            "city": "Cadillac",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496012379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cadillac, MI

Sources for this page

Verify at the official NPI Registry.