Active NPI
Kiira Vazales Speigl, PA
- Orthopaedic Surgery Physician
- Petoskey, MI
National Provider Identifier
1164063368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- PA1796
- Practice address
- 630 W Mitchell St Ste 4
Petoskey, MI 49770-2214 - Phone
- (231) 348-4005
- Fax
- (833) 973-5899
- NPI assigned
- Sep 30, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | PA1796 | ID | Primary |
Addresses
Primary practice location
630 W Mitchell St Ste 4
Petoskey, MI 49770-2214
Mailing address
630 W Mitchell St Ste 4
Petoskey, MI 49770-2214
Phone (231) 348-4005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191209002812 | ID | Practitioner - Physician Assistant | 3870926652 | Reassigns benefits to 1 organization |
| I20250731003924 | MI | Practitioner - Physician Assistant | 3870926652 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Alfred J Wroblewski MD PC
Practice addresses (Care Compare)
14700 Lake Shore Dr
Charlevoix, MI 49720-1931
Phone (231) 547-4024
630 W Mitchell St
Petoskey, MI 49770-2213
Phone (231) 348-4005
Hospital & facility affiliations
- Munson Healthcare Otsego Memorial Hospital
- Mackinac Straits Hospital and Health Center
- McLaren Northern Michigan
- Chippewa County War Memorial Hospital
- Charlevoix Area Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA1796 | ID | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alfred J Wroblewski MD PC | Orthopaedic Surgery | Current | Accepting new patients |
| Alfred J Wroblewski MD PC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
630 W Mitchell St
Petoskey, MI 49770
Phone (231) 347-8282
630 W Mitchell St
Ste 4
Petoskey, MI 49770
Phone (231) 348-4005
1140 N State St
Saint Ignace, MI 49781
Phone (906) 643-0466
Interoperability endpoints
- kiira.vazales.1@33154.direct.athenahealth.com
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.
-
- Orthopaedic Surgery Physician
- Petoskey, MI
- NPI 1821252289
MI, Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Petoskey, MI
- NPI 1477564011
-
- Orthopaedic Hand Surgery Physician
- Petoskey, MI
- NPI 1932904489
Orthopaedic Surgery
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Saint Ignace, MI
- NPI 1124283502
Hospital
-
- Critical Access Hospital
- Charlevoix, MI
- NPI 1346260692
Hospital
-
- General Acute Care Hospital
- Gaylord, MI
- NPI 1124028972
Hospital
-
- General Acute Care Hospital
- Sault Sainte Marie, MI
- NPI 1295756948
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767657600000",
"number": "1164063368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 W MITCHELL ST STE 4",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497702214",
"telephone_number": "231-348-4005",
"fax_number": "833-973-5899"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 W MITCHELL ST STE 4",
"city": "PETOSKEY",
"state": "MI",
"postal_code": "497702214",
"telephone_number": "231-348-4005",
"fax_number": "833-973-5899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEIGL",
"first_name": "KIIRA",
"middle_name": "VAZALES",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-30",
"last_updated": "2026-01-06",
"certification_date": "2026-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "ID",
"license": "PA1796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Petoskey, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.