Active NPI
Kaleigh Norma Mender
- Physician Assistant
- Monroe, MI
National Provider Identifier
1083231849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601010029
- Practice address
- 1030 N Monroe St
Monroe, MI 48162-3113 - Phone
- (734) 682-3309
- NPI assigned
- Jun 28, 2020
- Last updated
- May 24, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601010029 | MI | Primary |
Addresses
Primary practice location
1030 N Monroe St
Monroe, MI 48162-3113
Mailing address
3658 Ranchero Dr
Ann Arbor, MI 48108-5200
Phone (315) 657-3342
Other practice location 1
18707 Ecorse Rd
Allen Park, MI 48101-2255
Phone (734) 682-3309
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601010029 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurological Institute of Interventional Pain Management PLLC | Past | Accepting new patients | |
| Anesthesia Consultants of Michigan, PLLC | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GJFFAD/Endpoint/GJFFAD
Organizations & group practices 4
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.
-
- Physical Medicine & Rehabilitation Physician
- Morton Grove, IL
- NPI 1831716158
MI
-
- Anesthesiology Physician
- Belleville, MI
- NPI 1821466780
-
- Specialist
- Belleville, MI
- NPI 1427462597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653350400000",
"number": "1083231849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3658 RANCHERO DR",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481085200",
"telephone_number": "315-657-3342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 N MONROE ST",
"city": "MONROE",
"state": "MI",
"postal_code": "481623113",
"telephone_number": "734-682-3309"
}
],
"practiceLocations": [
{
"address_1": "18707 Ecorse Rd",
"address_purpose": "LOCATION",
"city": "Allen Park",
"state": "MI",
"postal_code": "481012255",
"country_code": "US",
"telephone_number": "734-682-3309",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENDER",
"first_name": "KALEIGH",
"middle_name": "NORMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-28",
"last_updated": "2022-05-24",
"certification_date": "2022-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601010029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, MI
- Anthony Emmanuel Melonakos, MD
- John E Melonakos, RPH
- Tina K Melonakos, RPH PHARMD
- Mubeen A Memon, M.D.
- Susan Jean Menard, CNP
- Mercy Eye Institute, LLC (Mercy Eye Center)
- Mercy Health Urgent Care Mi PLLC
- Mercy Memorial Hospital Corporatio
- Mercy Memorial Hospital Corporatio (Promedica Monroe Regional Hospital)
- Mercy Memorial Hospital Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.