Individual provider Active NPI

Heather Lynn Ferber, PA-C

  • Physician Assistant
  • Petoskey, MI
National Provider Identifier
1265689392
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601005342 Issued in MI
Practice address
116 W. Mitchell St.
Petoskey, MI 49770-8369
Phone
(231) 348-2828
Fax
(231) 348-9609
NPI assigned
Aug 20, 2008
Last updated
Jul 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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 5601005342 MI Primary

Addresses

Primary practice location

116 W. Mitchell St.
Petoskey, MI 49770-8369

Mailing address

223 N Park St
Boyne City, MI 49712-1220
Phone (231) 348-2828

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
I20140303001915 MI Practitioner - Physician Assistant 3072743418 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

223 N Park St
Boyne City, MI 49712-1220

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601005342MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Healthcare Charlevoix Hospital CurrentSince Jan 6, 2014 Accepting new patients
Munson Healthcare Charlevoix Hospital CurrentSince Jan 6, 2014 Accepting new patients
Munson Healthcare Charlevoix Hospital Past Accepting new patients
Munson Healthcare Charlevoix Hospital Past Accepting new patients

Locations

223 N Park St
Boyne City, MI 49712
Phone (231) 582-5314

14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1265689392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 N PARK ST",
            "city": "BOYNE CITY",
            "state": "MI",
            "postal_code": "497121220",
            "telephone_number": "231-348-2828",
            "fax_number": "231-348-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 W. MITCHELL ST.",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708369",
            "telephone_number": "231-348-2828",
            "fax_number": "231-348-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERBER",
        "first_name": "HEATHER",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-20",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

Verify at the official NPI Registry.