Connor S Mentzer, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1073 Melrose CT
Saline, MI 48176-1472

Phone

(734) 358-6656

NPI assigned

Jan 16, 2024

Last updated

Jan 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Michigan State University College of Osteopathic Medicine, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southgate Urgent Care PCGroup PAC ID 0143237172, 9 clinicians

Adrian Urgent Care PLLCGroup PAC ID 5193045425, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Adrian Urgent Care PLLC

  • Family Medicine Physician
  • Adrian, MI
  • NPI 1003204769
  Medicare reassignment Care Compare group
• Southgate Urgent Care PC

  • Family Medicine Physician
  • Southgate, MI
  • NPI 1902904436
  Medicare reassignment Care Compare group
• Adrian Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Adrian, MI
  • NPI 1144611633
  NPD (past)
• Southgate Urgent Care PC

  • Urgent Care Clinic/Center
  • Southgate, MI
  • NPI 1790967339
  NPD (past)

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1063273209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1073 MELROSE CT",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761472",
            "telephone_number": "734-358-6656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1073 MELROSE CT",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761472",
            "telephone_number": "734-358-6656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENTZER",
        "first_name": "CONNOR",
        "middle_name": "S",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Frances McFinton, DDS
• Jacklyn M McParlane, DO
• Maria Christina Mekas, NP-C
• Melissa K Renz DDS PLC (Pear Tree Dental)
• Pai Ching Meng, M.D.
• Brian Robert Merkel, D.D.S.
• Shaelyn Merki
• Paulette Margaret Metoyer, M.D.
• Mibraces LLC (Michigan Orthodontics)
• Michael S. Singleton DDS, PLLC

• Physician Assistant in Saline, MI
• Providers in Saline, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.