Compass Pointe Medical PLLC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Legal business name

COMPASS POINTE MEDICAL PLLC

Practice address

116 W Colby St Ste D
Whitehall, MI 49461-1084

Phone

(231) 292-1240

Fax

(231) 292-1088

NPI assigned

Jul 5, 2023

Last updated

Nov 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Koetje, PANPI 1912908997

Title

Owner

Phone

(231) 740-6370

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer J. Koetje, PA

  • Medical Physician Assistant
  • Whitehall, MI
  • NPI 1912908997
  Medicare reassignment Care Compare group Authorized official
• Emily K Roesler, PA-C

  • Physician Assistant
  • Muskegon, MI
  • NPI 1528889771
  Medicare reassignment Care Compare group NPD
• Thomas Marion Graff, D.O.

  • Family Medicine Physician
  • Whitehall, MI
  • NPI 1689665440
  NPD (past)

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1013695626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 W COLBY ST STE D",
            "city": "WHITEHALL",
            "state": "MI",
            "postal_code": "494611084",
            "telephone_number": "231-740-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W COLBY ST STE D",
            "city": "WHITEHALL",
            "state": "MI",
            "postal_code": "494611084",
            "telephone_number": "231-292-1240",
            "fax_number": "231-292-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASS POINTE MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "KOETJE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-740-6370",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randy D Brown, DC
• Ryan Todd Brunworth, DDS
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• Carmen Danielle Carlson, LPTA/DOR
• Michael Alan Cihak
• Comprehensive Professional Services, Inc.
• Cornerstone Counseling and Consultation Services
• Kathy Craymer, LLPC
• Emilee Danielson
• Deborah Osborne, O.D., PLLC (Family Eye Care of White Lake)

• Medical Physician Assistant in Whitehall, MI
• Providers in Whitehall, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.