Individual provider Active NPI

Katie Elizabeth Pihlman, PA-C

  • Physician Assistant
  • Owosso, MI
National Provider Identifier
1114698552
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601010674 Issued in MI
Practice address
818 W King St Ste 202
Owosso, MI 48867-2117
Phone
(989) 723-2299
NPI assigned
Sep 24, 2021
Last updated
Sep 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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 5601010674 MI Primary

Addresses

Primary practice location

818 W King St Ste 202
Owosso, MI 48867-2117

Mailing address

2715 Manley Dr
Lansing, MI 48910-3723
Phone (734) 255-8899

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
I20220525000984 MI Practitioner - Physician Assistant 5991183386 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Carson Hospital CurrentSince Aug 7, 2023 Accepting new patients
Memorial Hospital Physician Assistant CurrentSince Aug 1, 2024 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince May 1, 2022 Accepting new patients
Memorial Hospital CurrentSince Aug 1, 2024 Accepting new patients
Sparrow Carson Hospital CurrentSince Aug 7, 2023 Accepting new patients
Memorial Hospital Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

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

1210 W Saginaw St
Lansing, MI 48915
Phone (517) 364-7180

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

818 W King St
Ste 202
Owosso, MI 48867
Phone (989) 723-1529

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

1501 Waterford Pkwy
Ste B
Saint Johns, MI 48879
Phone (989) 534-2353

Interoperability endpoints

  • Direct secure messaging: kpihlman@memorialhealthcare.midirect.net

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1114698552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2715 MANLEY DR",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489103723",
            "telephone_number": "734-255-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 W KING ST STE 202",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672117",
            "telephone_number": "989-723-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIHLMAN",
        "first_name": "KATIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-24",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601010674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owosso, MI

Sources for this page

Verify at the official NPI Registry.