Kelly Marie Mathison

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

4704254007 Issued in MI

Practice address

703 N McEwan St
Clare, MI 48617-1440

Phone

(898) 802-5000

NPI assigned

Dec 11, 2011

Last updated

Sep 4, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mymichigan Medical Center MidlandGroup PAC ID 2264323633, 507 clinicians

Mymichigan Medical Center GladwinGroup PAC ID 0143262915, shared by 5 NPIs, 66 clinicians

Mymichigan Medical Center ClareGroup PAC ID 7012829773, 128 clinicians

Resource Anesthesiology Associates of Mi PCGroup PAC ID 4082883053, 62 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mymichigan Medical Center Clare Hospital, Clare, MI, CCN 230180
• Mymichigan Medical Center Gladwin Hospital, Gladwin, MI, CCN 231325
• Mymichigan Medical Center Midland Hospital, Midland, MI, CCN 230222

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Mymichigan Medical Center Clare

  • Certified Registered Nurse Anesthetist
  • Clare, MI
  • NPI 1417084278

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Mymichigan Medical Center Midland

  • Certified Registered Nurse Anesthetist
  • Midland, MI
  • NPI 1770668683

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Resource Anesthesiology Associates of Mi PC

  • Anesthesiology Physician
  • Saginaw, MI
  • NPI 1568755882
  Medicare reassignment Care Compare group NPD
• Anesthesia Associates of the Lower Peninsula PC

  • Anesthesiology Physician
  • Saginaw, MI
  • NPI 1740152412
  Medicare reassignment NPD
• Mymichigan Medical Center Gladwin

  • Critical Access Hospital
  • Gladwin, MI
  • NPI 1235248071
  Medicare reassignment NPD
• Mymichigan Medical Center Gladwin

  • General Practice Physician
  • Gladwin, MI
  • NPI 1881869774
  Medicare reassignment NPD
• Mymichigan Medical Center West Branch

  • General Acute Care Hospital
  • West Branch, MI
  • NPI 1538566765
  Medicare reassignment NPD
• Midland Pathology Associates, PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Midland, MI
  • NPI 1487747473
  NPD
• Mymichigan Medical Center Clare

  dba MidMichigan Urgent Care - Clare

  • Urgent Care Clinic/Center
  • Clare, MI
  • NPI 1225081862
  NPD
• Mymichigan Medical Center Midland

  • Anesthesiology Physician
  • Midland, MI
  • NPI 1649010455
  NPD
• Mymichigan Medical Center West Branch

  dba MidMichigan Medical Center- West Branch

  • Family Medicine Physician
  • West Branch, MI
  • NPI 1518418292
  NPD
• Mymichigan Medical Center West Branch

  • Certified Registered Nurse Anesthetist
  • West Branch, MI
  • NPI 1982247482

  Nurse Anesthetist, Certified Registered

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mymichigan Medical Center Clare

  • General Acute Care Hospital
  • Clare, MI
  • NPI 1568414589
  Care Compare affiliation
• Mymichigan Medical Center Gladwin

  • Critical Access Hospital
  • Gladwin, MI
  • NPI 1235248071
  Care Compare affiliation
• Mymichigan Medical Center Midland

  • Multi-Specialty Clinic/Center
  • Midland, MI
  • NPI 1205889490

  Hospital

  Care Compare affiliation
• Mymichigan Medical Center Midland

  dba Family Practice Center

  • General Acute Care Hospital
  • Midland, MI
  • NPI 1376973149
  Care Compare affiliation
• Mymichigan Medical Center Midland

  • General Acute Care Hospital
  • Midland, MI
  • NPI 1902841414
  Care Compare affiliation

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

{
    "created_epoch": "1323561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1073881629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 N MCEWAN ST",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486171440",
            "telephone_number": "586-322-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 N MCEWAN ST",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486171440",
            "telephone_number": "898-802-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHISON",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-11",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704254007",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704254007",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magnum Health and Rehab of Clare LLC (Magnum Health and Rehab of Clare)
• Jose Maldonado-Vazquez, MD
• Adnan Anwar Malik, M.D.
• Cedric B Masa, M.D.
• Tana Lyn Mashue Spicer
• McConnell Physical Therapy LLC
• Jordan McConnell, DPT
• Kristina Marie McConnell, DPT
• Amanda Gayle McCullough, PT
• McEwan Emergency Physicians

• Certified Registered Nurse Anesthetist in Clare, MI
• Providers in Clare, MI by specialty
• Certified Registered Nurse Anesthetist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2013; 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.