Active NPI
Caitlin E Mathison, PA-C
- Medical Physician Assistant
- Okemos, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 5601006809
- Practice address
- 3413 Woods Edge
Okemos, MI 48864-5901 - Phone
- (517) 349-3303
- Fax
- (517) 349-4374
- NPI assigned
- Oct 1, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 5601006809 | MI | Primary |
Addresses
Primary practice location
3413 Woods Edge
Okemos, MI 48864-5901
Mailing address
3413 Woods Edge
Okemos, MI 48864-5901
Phone (517) 349-3303
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, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 E Michigan Ave
Suite 725
Lansing, MI 48912-1832
Phone (517) 364-5599
1200 E Michigan Ave Sutie
Suite 725
Lansing, MI 48912-1832
1215 E Michigan Ave
Lansing, MI 48912-1811
Phone (517) 364-1000
406 E Elm St
Carson City, MI 48811-9693
Phone (989) 584-3131
Hospital & facility affiliations
- Edward W Sparrow Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601006809 | MI | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Cardiology PC | Current | Accepting new patients |
Locations
1200 E Michigan Ave
Ste 725
Lansing, MI 48912
Phone (517) 364-5599
Organizations & group practices 2
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.
-
- Specialist
- Lansing, MI
- NPI 1710183660
-
- Hospitalist Physician
- Lansing, MI
- NPI 1487278156
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
-
- General Acute Care Hospital
- Lansing, MI
- NPI 1760710719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380585600000",
"number": "1194152553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3413 WOODS EDGE",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488645901",
"telephone_number": "517-349-3303",
"fax_number": "517-349-4374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3413 WOODS EDGE",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488645901",
"telephone_number": "517-349-3303",
"fax_number": "517-349-4374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHISON",
"first_name": "CAITLIN",
"middle_name": "E",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-01",
"last_updated": "2013-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MI",
"license": "5601006809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Okemos, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; 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.