NPIMap

Individual provider Active NPI

Karen Michelle Hemmer, PA-C

  • Physician Assistant
  • Port Clinton, OH
National Provider Identifier
1144461047
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
611 Fulton St Ste a
Port Clinton, OH 43452-2008
Phone
(419) 734-0699
Fax
(419) 734-0320
NPI assigned
Mar 23, 2009
Last updated
Sep 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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 NU Primary

Addresses

Primary practice location

611 Fulton St Ste a
Port Clinton, OH 43452-2008

Mailing address

PO Box 378
Sandusky, OH 44871-0378
Phone (419) 609-1112

Other practice location 1

2500 W Strub Rd
Suite 120
Sandusky, OH 44870-5390
Phone (419) 502-5911

Other identifiers 3

IdentifierTypeStateIssuer
560942OtherOHWELLCARE
HEPA33131OtherOHMEDICARE
1085914OtherOHNATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20090519000357 OH Practitioner - Physician Assistant 4880743020 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Ohio Medical Specialists,LLCGroup PAC ID 2769386192, shared by 44 NPIs, 252 clinicians

Practice addresses (Care Compare)

112 Independence Way
Clyde, OH 43410-9812

2500 W Strub Rd
Sandusky, OH 44870-5390

3004 Hayes Ave
Sandusky, OH 44870-5321
Phone (419) 609-1112

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Ohio Medical Specialists LLC CurrentSince Apr 20, 2009 Accepting new patients
North Coast Professional Company, LLC CurrentSince Jul 2, 2010 Accepting new patients
Northern Ohio Medical Specialists, LLC CurrentSince Jun 1, 2018 Accepting new patients
Northern Ohio Medical Specialists, LLC CurrentSince Apr 20, 2009 Accepting new patients
Northern Ohio Medical Specialists, LLC Past Accepting new patients
H.B. Magruder Memorial Hospital Past Accepting new patients

Locations

112 Independence Way
Ste 110
Clyde, OH 43410
Phone (419) 483-9000

611 Fulton St
Ste A
Port Clinton, OH 43452
Phone (419) 725-6850

2500 W Strub Rd
Ste 120
Sandusky, OH 44870
Phone (419) 502-5932

3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841

703 Tyler St
Ste 352
Sandusky, OH 44870
Phone (419) 557-6785

Interoperability endpoints

  • Direct secure messaging: khemmer20290@nomshealthcare.direct-ci.com

Organizations & group practices 7

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 7

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": "1237766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1144461047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448710378",
            "telephone_number": "419-609-1112",
            "fax_number": "419-609-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 FULTON ST STE A",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434522008",
            "telephone_number": "419-734-0699",
            "fax_number": "419-734-0320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 W Strub Rd",
            "address_2": "Suite 120",
            "address_purpose": "LOCATION",
            "city": "Sandusky",
            "state": "OH",
            "postal_code": "448705390",
            "country_code": "US",
            "telephone_number": "419-502-5911",
            "fax_number": "419-502-5912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEMMER",
        "first_name": "KAREN",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-23",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "560942",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "HEPA33131",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS",
            "identifier": "1085914",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Clinton, OH

Sources for this page

Verify at the official NPI Registry.