Active NPI
Katrina Celeste Hamel, PA-C
- Physician Assistant
- Berrien Springs, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 9045 US Highway 31
Suite a
Berrien Springs, MI 49103-1804 - Phone
- (269) 473-2222
- Fax
- (269) 473-6880
- NPI assigned
- Sep 18, 2012
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
9045 US Highway 31
Suite a
Berrien Springs, MI 49103-1804
Mailing address
9045 US Highway 31
Suite a
Berrien Springs, MI 49103-1804
Phone (269) 473-2222
Other names 1
- Ms. Katrina Celeste Rebolloso
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3950 Hollywood Rd
Saint Joseph, MI 49085-9151
9045 US Hwy 31
Berrien Springs, MI 49103-1804
Hospital & facility affiliations
- Corewell Health Lakeland Hospitals St Joseph Hospital
- Lakeland Hospital, St Joseph
- Corewell Health Watervliet Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Medical Practices | Current | Accepting new patients | |
| Lakeland Community Hospital Watervliet | Current | Accepting new patients | |
| Lakeland Community Hospital Watervliet | Current | Accepting new patients | |
| Lakeland Medical Practices | Current | Accepting new patients |
Locations
9045 US Highway 31
Berrien Springs, MI 49103
Phone (269) 473-2222
9045 US Highway 31
Ste A
Berrien Springs, MI 49103
Phone (269) 473-2222
3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990
400 Medical Park Dr
Watervliet, MI 49098
Phone (269) 463-3111
Interoperability endpoints
- khamel1269752@epic00.corewelldirect.org
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Saint Joseph, MI
- NPI 1538397120
-
- Emergency Medicine Physician
- Livonia, MI
- NPI 1386688992
-
- Rural Health Clinic/Center
- Hartford, MI
- NPI 1023114741
-
- Rural Health Clinic/Center
- Dowagiac, MI
- NPI 1184467607
-
- Rural Health Clinic/Center
- Watervliet, MI
- NPI 1508924770
-
- Internal Medicine Physician
- Bridgman, MI
- NPI 1568232247
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Watervliet, MI
- NPI 1700994845
-
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
-
- Home Health Agency
- Benton Harbor, MI
- NPI 1912094525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455667200000",
"number": "1194075002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9045 US HIGHWAY 31",
"address_2": "SUITE A",
"city": "BERRIEN SPRINGS",
"state": "MI",
"postal_code": "491031804",
"telephone_number": "269-473-2222",
"fax_number": "269-473-6880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9045 US HIGHWAY 31",
"address_2": "SUITE A",
"city": "BERRIEN SPRINGS",
"state": "MI",
"postal_code": "491031804",
"telephone_number": "269-473-2222",
"fax_number": "269-473-6880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMEL",
"first_name": "KATRINA",
"middle_name": "CELESTE",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-18",
"last_updated": "2016-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATRINA",
"last_name": "REBOLLOSO",
"middle_name": "CELESTE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Berrien Springs, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.