Individual provider Active NPI

Caila Carolyn Kippe, PA-C

  • Physician Assistant
  • Gaylord, MI
National Provider Identifier
1255992160
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601009489 Issued in MI
Practice address
2147 Professional Dr
Gaylord, MI 49735-0003
Phone
(989) 732-1753
NPI assigned
Jun 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601009489 MI Primary

Addresses

Primary practice location

2147 Professional Dr
Gaylord, MI 49735-0003

Mailing address

2147 Professional Dr
Gaylord, MI 49735-0003
Phone (989) 732-1753

Other practice location 1

1619 Anderson Rd
Petoskey, MI 49770-9256
Phone (231) 417-6090

Other practice location 2

3537 W Front St Ste E
Traverse City, MI 49684-7943
Phone (231) 935-5880

Other practice location 3

4100 Park Forest Dr
Traverse City, MI 49684-7331
Phone (231) 392-8900

Other practice location 4

1010 W North Down River Rd
Grayling, MI 49738-2060
Phone (989) 348-0800

Other practice location 5

8881 M 119
Harbor Springs, MI 49740-9816
Phone (231) 487-2270

Other practice location 6

14695 Park Ave Ste A
Charlevoix, MI 49720-1920
Phone (231) 547-2812

Other practice location 7

1135 W University Dr Ste 450
Rochester, MI 48307-1871
Phone (248) 650-2400

Other names 1

  • Caila Carolyn Coale Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190912000462 MI Practitioner - Physician Assistant 2466781778 Reassigns benefits to 8 organizations

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
Munson Healthcare GraylingGroup PAC ID 2062736655, 64 clinicians
Munson Healthcare Otsego Memorial HospitalGroup PAC ID 8325942535, 126 clinicians
Munson Medical CenterGroup PAC ID 3072426287, 377 clinicians

Practice addresses (Care Compare)

1100 E Michgan Ave
Grayling, MI 49738-1312
Phone (989) 348-0594

1250 E Michigan Ave
Grayling Community Health Center
Grayling, MI 49738-7074
Phone (989) 348-0550

1250 E Michigan Ave C
Munson Audiology Grayling
Grayling, MI 49738-7074
Phone (231) 935-6455

1619 Anderson Rd
Petoskey, MI 49770-9256
Phone (231) 935-0338

2147 Professional Dr
Gaylord, MI 49735-0003
Phone (989) 732-1753

3537 W Front St
Suite E
Traverse City, MI 49684-7943
Phone (231) 935-5880

825 N Ctr Ave
Gaylord, MI 49735-1592
Phone (989) 731-2100

829 N Ctr Ave
MHC Omh Medical Group
Gaylord, MI 49735-1595
Phone (989) 731-7708

Hospital & facility affiliations

  • Munson Healthcare Otsego Memorial Hospital Hospital, Gaylord, MI, CCN 230133
  • Munson Healthcare Grayling Hospital Hospital, Grayling, MI, CCN 230058

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.92
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Rochester Hospital Physician Assistant CurrentSince Aug 1, 2023 Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Jun 28, 2024 Accepting new patients
Henry Ford Semi Medical Group CurrentSince Apr 1, 2023 Accepting new patients
Munson Medical Center CurrentSince Dec 1, 2025 Accepting new patients
Henry Ford Semi Medical Group CurrentSince Apr 1, 2023 Accepting new patients
Munson Medical Center CurrentSince Dec 1, 2025 Accepting new patients
Henry Ford Health Rochester Hospital CurrentSince Aug 1, 2023 Accepting new patients
Munson Healthcare Charlevoix Hospital CurrentSince Jun 28, 2024 Accepting new patients
Munson Medical Group CurrentSince Jun 28, 2024 Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Jun 28, 2024 Accepting new patients
Munson Healthcare Charlevoix Hospital CurrentSince Jun 28, 2024 Accepting new patients
Henry Ford Health River District Hospital CurrentSince Jul 8, 2019 Accepting new patients
Munson Medical Center Current Accepting new patients
Munson Medical Center Past Accepting new patients
Munson Healthcare Grayling Past Accepting new patients
Munson Healthcare Otsego Memorial Hospital Past Accepting new patients
Munson Healthcare Charlevoix Hospital Past Accepting new patients

Locations

2891 Momentum Pl
Chicago, IL 60689

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

14651 W Upright St
Charlevoix, MI 49720
Phone (231) 547-4477

14695 Park Ave
Ste A
Charlevoix, MI 49720
Phone (231) 547-2812

22201 Moross Rd
Ste 214
Detroit, MI 48236
Phone (313) 343-7110

4100 S River Rd
East China, MI 48054
Phone (810) 329-6677

4014 S River Rd
Ste 1
East China, MI 48054
Phone (810) 326-1229

2147 Professional Dr
Gaylord, MI 49735
Phone (989) 732-1400

829 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

8881 M 119
Harbor Springs, MI 49740
Phone (231) 347-5400

1619 Anderson Rd
Petoskey, MI 49770
Phone (231) 417-6000

1135 W University Dr
Ste 450
Rochester Hills, MI 48307
Phone (248) 650-2400

1101 W University Dr
Rochester Hls, MI 48307
Phone (248) 601-4805

1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000

4100 Park Forest Dr
Traverse City, MI 49684
Phone (231) 392-8900

3537 W Front St
Ste E
Traverse City, MI 49684
Phone (231) 935-5880

1200 Sixth St
Ste 200
Traverse City, MI 49684

30117 Schoenherr Rd
Ste 400
Warren, MI 48088
Phone (586) 552-4848

28000 Dequindre Rd
Warren, MI 48092
Phone (586) 743-0944

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1561248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1255992160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2147 PROFESSIONAL DR",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497350003",
            "telephone_number": "989-732-1753",
            "fax_number": "989-731-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2147 PROFESSIONAL DR",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497350003",
            "telephone_number": "989-732-1753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1619 Anderson Rd",
            "address_purpose": "LOCATION",
            "city": "Petoskey",
            "state": "MI",
            "postal_code": "497709256",
            "country_code": "US",
            "telephone_number": "231-417-6090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3537 W Front St Ste E",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496847943",
            "country_code": "US",
            "telephone_number": "231-935-5880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4100 Park Forest Dr",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496847331",
            "country_code": "US",
            "telephone_number": "231-392-8900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1010 W North Down River Rd",
            "address_purpose": "LOCATION",
            "city": "Grayling",
            "state": "MI",
            "postal_code": "497382060",
            "country_code": "US",
            "telephone_number": "989-348-0800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8881 M 119",
            "address_purpose": "LOCATION",
            "city": "Harbor Springs",
            "state": "MI",
            "postal_code": "497409816",
            "country_code": "US",
            "telephone_number": "231-487-2270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14695 Park Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Charlevoix",
            "state": "MI",
            "postal_code": "497201920",
            "country_code": "US",
            "telephone_number": "231-547-2812",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1135 W University Dr Ste 450",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MI",
            "postal_code": "483071871",
            "country_code": "US",
            "telephone_number": "248-650-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIPPE",
        "first_name": "CAILA",
        "middle_name": "CAROLYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-23",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601009489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAILA",
            "last_name": "COALE",
            "middle_name": "CAROLYN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gaylord, MI

Sources for this page

Verify at the official NPI Registry.