Individual provider Active NPI

Annalee Polmatier, PA-C

  • Medical Physician Assistant
  • Flint, MI
National Provider Identifier
1063848992
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601006842 Issued in MI
Practice address
4520 Linden Creek Pkwy Ste F1
Flint, MI 48507-2969
Phone
(810) 244-1168
NPI assigned
Sep 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601006842 MI
Medical Physician Assistant 363AM0700X 5601006842 MI Primary

Addresses

Primary practice location

4520 Linden Creek Pkwy Ste F1
Flint, MI 48507-2969

Mailing address

4520 Linden Creek Pkwy Ste F1
Flint, MI 48507-2969
Phone (810) 244-1168

Other practice location 1

1 Hurley Plz
Flint, MI 48503-5902
Phone (810) 262-9000

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
I20140113000849 MI Practitioner - Physician Assistant 1254569536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amd Urgent Medical Care, PLLCGroup PAC ID 6608021738, 5 clinicians

Practice addresses (Care Compare)

11307 N Linden Rd
Suite B
Clio, MI 48420-8589
Phone (810) 564-7995

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601006842MIMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: apolmatier76987@direct.covenanthealthcare.com

Organizations & group practices 1

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": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1063848992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 LINDEN CREEK PKWY STE F1",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072969",
            "telephone_number": "810-244-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 LINDEN CREEK PKWY STE F1",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485072969",
            "telephone_number": "810-244-1168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Hurley Plz",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485035902",
            "country_code": "US",
            "telephone_number": "810-262-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLMATIER",
        "first_name": "ANNALEE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-24",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006842",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601006842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.