NPIMap

Individual provider Active NPI

Ashley Kaatz, DO

  • Family Medicine Physician
  • Harrisville, MI
National Provider Identifier
1134618689
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101025140 Issued in MI
Practice address
177 N Barlow Rd
Harrisville, MI 48740-9607
Phone
(989) 736-8157
Fax
(989) 358-3762
NPI assigned
May 9, 2018
Last updated
Jan 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101025140 MI Primary

Addresses

Primary practice location

177 N Barlow Rd
Harrisville, MI 48740-9607

Mailing address

PO Box 655
Alpena, MI 49707-0655
Phone (989) 736-8157

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ashley.kaatz.p1@direct.alcona.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210512001219 MI Practitioner - Family Practice 2466862602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alcona Citizens for Health IncGroup PAC ID 5991691958, 65 clinicians

Practice addresses (Care Compare)

177 N Barlow Rd
Harrisville, MI 48740-9607
Phone (989) 736-8157

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Alcona Citizens for Health, Inc. Family Medicine CurrentSince Aug 16, 2021 Accepting new patients
Alcona Citizens for Health, Inc. CurrentSince Aug 16, 2021 Accepting new patients
Alcona Citizens for Health Inc Past Accepting new patients
Partners in Wellness Family Medicine Past Accepting new patients
Detroit Wayne County Health Authority PastSince Jul 6, 2020 Accepting new patients

Locations

1035 W Washington Ave
Alpena, MI 49707

177 N Barlow Rd
Harrisville, MI 48740
Phone (989) 736-3020

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19827/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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 11

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": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1134618689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 655",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497070655",
            "telephone_number": "989-736-8157",
            "fax_number": "989-358-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 N BARLOW RD",
            "city": "HARRISVILLE",
            "state": "MI",
            "postal_code": "487409607",
            "telephone_number": "989-736-8157",
            "fax_number": "989-358-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAATZ",
        "first_name": "ASHLEY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-09",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101025140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashley.kaatz.p1@direct.alcona.nextgenshare.com",
            "affiliation": "N",
            "address_1": "177 N Barlow Rd",
            "city": "Harrisville",
            "state": "MI",
            "country_code": "US",
            "postal_code": "487409607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisville, MI

Sources for this page

Verify at the official NPI Registry.