Carmen Plott, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704300983 Issued in MI

Practice address

560 W Mitchell St Ste 185
Petoskey, MI 49770-2296

Phone

(231) 487-3390

Fax

(231) 487-3578

NPI assigned

Apr 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Southeast Alaska Regional Health Consortium

  • Clinic/Center
  • Thorne Bay, AK
  • NPI 1376758037
  NPD
• Southeast Alaska Regional Health Consortium

  • Clinic/Center
  • Juneau, AK
  • NPI 1427941343
  NPD
• Southeast Alaska Regional Health Constortium

  • Clinic/Center
  • Sitka, AK
  • NPI 1538521026
  NPD

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1306064308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 W MITCHELL ST STE 185",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702296",
            "telephone_number": "231-487-3390",
            "fax_number": "231-487-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 W MITCHELL ST STE 185",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497702296",
            "telephone_number": "231-487-3390",
            "fax_number": "231-487-3578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOTT",
        "first_name": "CARMEN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN135786",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN11882",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704300983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylee Anne Pinney
• Georgia Plagens, PA
• Planned Parenthood of West & Northern Michigan, Inc.
• Danielle Plastino, BSW, CADC-DP
• Jennifer Lynn Pletcher, PA-C
• Emily Powell, MS, OTRL
• Natalia Powell, MA, LPC, NCC
• Powerback Rehabilitation LLC
• Carl F Powers, O.D.
• Rebecca L. Price, PA-C

• Nurse Practitioner in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.