Individual provider Active NPI

Marie L Spiess, PA-C

  • Physician Assistant
  • Owosso, MI
National Provider Identifier
1104909753
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601003225 Issued in MI
Practice address
818 W King St
Ste 201
Owosso, MI 48867-2116
Phone
(989) 723-3168
Fax
(989) 725-2962
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601003225 MI Primary

Addresses

Primary practice location

818 W King St
Ste 201
Owosso, MI 48867-2116

Mailing address

818 W King St
Ste 201
Owosso, MI 48867-2116
Phone (989) 723-3168

Other identifiers 1

IdentifierTypeStateIssuer
1104909753MedicaidMI

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
I20061207000116 MI Practitioner - Physician Assistant 9234138967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial HospitalGroup PAC ID 8527976497, 210 clinicians

Practice addresses (Care Compare)

818 W King St
Owosso, MI 48867-2117

826 W King St
Owosso, MI 48867-2120

Hospital & facility affiliations

  • Memorial Healthcare Home health agency, Owosso, MI, CCN 237101
  • Memorial Healthcare Hospital, Owosso, MI, CCN 230121

Merit-based Incentive Payment System (MIPS)

Final score
82.58 of 100Reported as group
Quality
58.15
Promoting interoperability
100
Improvement activities
40
Cost
74.45

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital CurrentSince Nov 1, 2013 Accepting new patients
Memorial Hospital Past Accepting new patients
Memorial Hospital Physician Assistant Past Accepting new patients
Memorial Hospital Physician Assistant Past Accepting new patients

Locations

9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273

818 W King St
Ste 201
Owosso, MI 48867
Phone (989) 723-3168

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

802 W King St
Ste M
Owosso, MI 48867
Phone (989) 725-9846

Interoperability endpoints

  • Direct secure messaging: m.spiess@memorialhealthcare.midirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1104909753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 W KING ST",
            "address_2": "STE 201",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672116",
            "telephone_number": "989-723-3168",
            "fax_number": "989-725-2962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 W KING ST",
            "address_2": "STE 201",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672116",
            "telephone_number": "989-723-3168",
            "fax_number": "989-725-2962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIESS",
        "first_name": "MARIE",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104909753",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owosso, MI

Sources for this page

Verify at the official NPI Registry.