Carrie L. Kovolski, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704197129 Issued in 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

Last updated

Mar 16, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Carrie Lynn Kovolski Former name

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northview Medical House Calls PLCGroup PAC ID 9537345400, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Residential Home Health and Hospice Home health agency, Saginaw, MI, CCN 239152
• Evergreen Home Health Home health agency, Gaylord, MI, CCN 239350
• Hospice of Northeastern Michigan Hospice, Gaylord, MI, CCN 231536
• Munson Healthcare Otsego Memorial Hospital Hospital, Gaylord, MI, CCN 230133

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carrie.kovolski.1@27934.direct.athenahealth.com

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.

• Northview Medical House Calls PLC

  dba Careline Physician Services

  • Family Medicine Physician
  • Saginaw, MI
  • NPI 1336447002
  Medicare reassignment Care Compare group NPD
• Careconnectmd Michigan PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Dearborn, MI
  • NPI 1477288348
  Medicare reassignment NPD
• Careline Palliative Care LLC

  dba Optimal Care Physician Services

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Jackson, MI
  • NPI 1801367073
  Medicare reassignment NPD
• Northview Health Specialists, PLLC

  dba Optimal Care Physician Services

  • Family Medicine Physician
  • Grand Rapids, MI
  • NPI 1629558978
  Medicare reassignment NPD
• Pro-Health Medical FP

  • Primary Care Clinic/Center
  • Lake Orion, MI
  • NPI 1740841451
  Medicare reassignment NPD
• Provider Partners Care Management LP

  • Nurse Practitioner
  • Columbia, MD
  • NPI 1013348028

  MI

  Medicare reassignment NPD
• Careline Hmi300 LLC

  dba Optimal Care Hospice

  • Community Based Hospice Care Agency
  • Grand Rapids, MI
  • NPI 1770257818
  NPD
• Walloon Lake Recovery Lodge, LLC

  dba Bear River Health

  • Substance Abuse Rehabilitation Facility
  • Boyne Falls, MI
  • NPI 1750791505
  NPD
• Harpal S Jande MD PC

  • Internal Medicine Physician
  • Rochester Hills, MI
  • NPI 1326615139
  NPD (past)
• Premier Heart Associates, Inc

  • Cardiovascular Disease Physician
  • Beavercreek, OH
  • NPI 1538188735
  NPD (past)
• Pro-Health Medical, P.C.

  • Internal Medicine Physician
  • Rego Park, NY
  • NPI 1104124841
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Evergreen HC Group Inc

  dba Evergreen Home Health

  • Home Health Agency
  • Gaylord, MI
  • NPI 1184225021
  Care Compare affiliation
• Hospice of Michigan, Inc.

  dba Hospice of Northeastern Michigan

  • Community Based Hospice Care Agency
  • Gaylord, MI
  • NPI 1962446237
  Care Compare affiliation
• Munson Healthcare Otsego Memorial Hospital

  • General Acute Care Hospital
  • Gaylord, MI
  • NPI 1124028972
  Care Compare affiliation
• Residential Home Health and Hospice, Inc.

  • Home Health Agency
  • Saginaw, MI
  • NPI 1083341168
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1194366195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ROSEHILL RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492021762",
            "telephone_number": "989-731-2145",
            "fax_number": "517-212-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 FASHION SQUARE BLVD STE L-1",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486042620",
            "telephone_number": "989-282-4003",
            "fax_number": "888-491-7220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "770 Kenmoor Ave SE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495468602",
            "country_code": "US",
            "telephone_number": "616-272-3533",
            "fax_number": "616-259-4839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOVOLSKI",
        "first_name": "CARRIE",
        "middle_name": "L.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-01",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704197129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "KOVOLSKI",
            "middle_name": "LYNN",
            "credential": "CARRIE BISHOP RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Camille Helena Koterba, MD
• Sambasiva Kottamasu, M.D.
• Andrea Koutras, LLMSW
• Jessica M Kovach, NP
• Rebecca E Kovick
• Lauren Kowalewsky, OTRL
• Dolores Joanne Kowalski-Meier, O.D.
• Alissa Kowalski
• Megan Janelle Kowalski, BT
• Rebecca Lynn Kowalski

• Family Nurse Practitioner in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.

Verify at the official NPI Registry.