Carrie L. Kovolski, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Saginaw, MI
NPI 1194366195 · NPPES record last updated Mar 16, 2023
Key facts
- NPI
- 1194366195
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704197129 (MI)
- Practice address
- 4760 Fashion Square Blvd Ste L-1
Saginaw, MI 48604-2620 - Phone
- (989) 282-4003
- Fax
- (888) 491-7220
- NPI assigned
- Oct 1, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northview Medical House Calls PLC
Practice addresses (Care Compare)
4760 Fashion Square Blvd
Suite L 1
Saginaw, MI 48604-2620
Phone (989) 282-4003
Hospital & facility affiliations
- Residential Home Health and Hospice
- Evergreen Home Health
- Hospice of Northeastern Michigan
- Munson Healthcare Otsego Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200409000829 | MI | Practitioner - Nurse Practitioner | 9931538196 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Careconnectmd Michigan PC | Current |
Accepting new patients | |
| Pro-Health Medical FP | Current |
Accepting new patients | |
| Northview Medical House Calls PLC | Current |
Accepting new patients | |
| Careline Hmi300 LLC | Current |
Accepting new patients | |
| Careline Palliative Care LLC | Current |
Accepting new patients | |
| Northview Health Specialists, PLLC | Current |
Accepting new patients | |
| Provider Partners Care Management LP | Current |
Accepting new patients | |
| Walloon Lake Recovery Lodge, LLC | Current |
Accepting new patients | |
| Harpal S Jande MD PC | Past |
Accepting new patients | |
| Pro-Health Medical, P.C. | Past | Accepting new patients | |
| Premier Heart Associates, Inc | Past |
Accepting new patients |
Locations
3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182
8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097
2329 Center St
Ste 1
Boyne Falls, MI 49713
2329 Center St
Boyne Falls, MI 49713
Phone (231) 758-4566
3200 Greenfield Rd
Ste 300
Dearborn, MI 48120
Phone (313) 318-8208
1723 W M 32
Gaylord, MI 49735
Phone (989) 214-8005
1723 W M 32
Ste B
Gaylord, MI 49735
Phone (248) 238-3666
770 Kenmoor Ave SE
Ste 100
Grand Rapids, MI 49546
Phone (616) 272-3533
801 Rosehill Rd
Jackson, MI 49202
Phone (517) 212-2008
3003 S Baldwin Rd
Ste B
Lake Orion, MI 48359
Phone (248) 301-1090
1266 Walton Blvd
Rochester Hls, MI 48307
Phone (248) 710-2900
4760 Fashion Square Blvd
Ste L1
Saginaw, MI 48604
Phone (989) 282-4003
416 Woodland Dr
Sandusky, MI 48471
Phone (248) 238-3666
Interoperability endpoints
- carrie.kovolski.1@27934.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704197129 | MI | Yes |
Addresses
Primary practice location
4760 Fashion Square Blvd Ste L-1
Saginaw, MI 48604-2620
Mailing address
801 Rosehill Rd
Jackson, MI 49202-1762
Phone (989) 731-2145
Other practice location 1
770 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-8602
Phone (616) 272-3533
Other names
- Carrie Lynn Kovolski
Other providers in Saginaw, MI
- Camille Helena Koterba
- Sambasiva Kottamasu
- Andrea Koutras
- Jessica M Kovach
- Rebecca E Kovick
- Lauren Kowalewsky
- Dolores Joanne Kowalski-Meier
- Alissa Kowalski
- Megan Janelle Kowalski
- Rebecca Lynn Kowalski
All providers in Saginaw, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.