Carlee Marie Adickes, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601012760 Issued in MI

Practice address

7870W US Highway 2
Manistique, MI 49854-1599

Phone

(906) 341-2153

NPI assigned

Sep 9, 2024

Last updated

Dec 26, 2024By 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

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

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Schoolcraft Memorial HospitalGroup PAC ID 4082525118, 30 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Schoolcraft Memorial Hospital Hospital, Manistique, MI, CCN 231303

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/71812193-7aa5-42d8-ba4c-ee45e2ea853f/

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.

• Schoolcraft Memorial Hospital

  • Critical Access Hospital
  • Manistique, MI
  • NPI 1700805157
  Medicare reassignment Care Compare group
• Schoolcraft Memorial Hospital

  dba Schoolcraft Memorial Hospital Rural Health Clinic Naubinway

  • Rural Health Clinic/Center
  • Naubinway, MI
  • NPI 1881254605
  NPD
• Schoolcraft Memorial Hospital

  dba Schoolcraft Memorial HomeCare and Hospice

  • Home Health Agency
  • Manistique, MI
  • NPI 1447256276
  NPD (past)

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

• Schoolcraft Memorial Hospital

  • Critical Access Hospital
  • Manistique, MI
  • NPI 1700805157
  Care Compare affiliation

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1285460170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 DELAWARE AVE APT F",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530249470",
            "telephone_number": "906-241-3352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7870W US HIGHWAY 2",
            "city": "MANISTIQUE",
            "state": "MI",
            "postal_code": "498541599",
            "telephone_number": "906-341-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADICKES",
        "first_name": "CARLEE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601012760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracie Abram
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• Alyssa Jean Arnold
• Katelyn Rose Arnold
• Shelly D Baker, OD
• Gregory A. Bambach, M.D.
• Brenda Lea Barber, FNP

• Physician Assistant in Manistique, MI
• Providers in Manistique, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.