Individual provider Active NPI

Katelyn Jo Barton, NP

  • Nurse Practitioner
  • Grant, MI
National Provider Identifier
1093228900
Registry record updated Mar 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704294950 Issued in MI
Practice address
71 S Front St
Grant, MI 49327-9701
Phone
(844) 537-1036
Fax
(833) 626-1945
NPI assigned
Nov 14, 2017
Last updated
Mar 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704294950 MI Primary

Addresses

Primary practice location

71 S Front St
Grant, MI 49327-9701

Mailing address

825 Nicollet Mall Ste 556
Minneapolis, MN 55402-2603
Phone (844) 670-2273

Other names 1

  • Katelyn Jo Carson Former name

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
I20171130001316 MI Practitioner - Nurse Practitioner 3274890124 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Homeward Physicians , PLLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

71 S Front St
Grant, MI 49327
Phone (231) 834-5676

1414 W Fair Ave
Ste 242
Marquette, MI 49855
Phone (844) 537-1036

825 Nicollet Mall
Ste 556
Minneapolis, MN 55402
Phone (844) 537-1036

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26566/brand/1/csg/1/fhir/r4
  • Direct secure messaging: katelyn.barton.1@26566.direct.athenahealth.com
  • Direct secure messaging: ms_kbarto12@landmarkhealth-direct.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741478400000",
    "number": "1093228900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 NICOLLET MALL STE 556",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554022603",
            "telephone_number": "844-670-2273",
            "fax_number": "833-471-4119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 S FRONT ST",
            "city": "GRANT",
            "state": "MI",
            "postal_code": "493279701",
            "telephone_number": "844-537-1036",
            "fax_number": "833-626-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTON",
        "first_name": "KATELYN",
        "middle_name": "JO",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-14",
        "last_updated": "2025-03-09",
        "certification_date": "2025-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704294950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "CARSON",
            "middle_name": "JO",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grant, MI

Sources for this page

Verify at the official NPI Registry.