NPIMap

Individual provider Active NPI

Karen L Goulet, M.D.

  • Family Medicine Physician
  • Escanaba, MI
National Provider Identifier
1306861844
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301062097 Issued in MI
Practice address
3409 Ludington St
Suite 104
Escanaba, MI 49829-4212
Phone
(906) 786-5707
Fax
(906) 789-4430
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301062097 MI
Emergency Medicine Physician 207P00000X 35953 WI
Family Medicine Physician 207Q00000X 4301062097 MI Primary

Addresses

Primary practice location

3409 Ludington St
Suite 104
Escanaba, MI 49829-4212

Mailing address

3409 Ludington St
Suite 104
Escanaba, MI 49829-4212
Phone (906) 786-5707

Other identifiers 1

IdentifierTypeStateIssuer
4979474MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060221000409 MI Practitioner - Family PracticePractitioner - Emergency Medicine 6305852898 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Michigan Medical School, 1993
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)

7870W US Hwy 2
Manistique, MI 49854-8992
Phone (906) 341-2153

Hospital & facility affiliations

  • North Woods Home Nursing Home health agency, Manistique, MI, CCN 237182
  • Schoolcraft Memorial Homecare and Hospice Home health agency, Manistique, MI, CCN 237279
  • Schoolcraft Memorial Hospital Hospital, Manistique, MI, CCN 231303
  • Helen Newberry Joy Hospital Hospital, Newberry, MI, CCN 231304

Merit-based Incentive Payment System (MIPS)

Final score
86.2 of 100Reported as group
Quality
82.07
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301062097MIMDEmergency Medicine Physician
35953WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Michigan Emergenc Physicians, LLP Emergency Medicine CurrentSince Apr 12, 2006 Accepting new patients
Northern Michigan Emergency Physicians, LLP Emergency Medicine CurrentSince Apr 12, 2006 Accepting new patients
Schoolcraft Memorial Hospital CurrentSince Sep 4, 2024 Accepting new patients
Northern Michigan Emergency Physicians, LLP Emergency Medicine Current Accepting new patients
Schoolcraft Memorial Hospital Past Accepting new patients
Upper Peninsula Association of Rural Health Services, Inc. Family Medicine Past Accepting new patients

Locations

3401 Ludington St
Escanaba, MI 49829
Phone (906) 786-3311

7870W US Highway 2
Manistique, MI 49854
Phone (906) 341-2153

Interoperability endpoints

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

Organizations & group practices 10

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.

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242172800000",
    "number": "1306861844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 LUDINGTON ST",
            "address_2": "SUITE 104",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498294212",
            "telephone_number": "906-786-5707",
            "fax_number": "906-789-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 LUDINGTON ST",
            "address_2": "SUITE 104",
            "city": "ESCANABA",
            "state": "MI",
            "postal_code": "498294212",
            "telephone_number": "906-786-5707",
            "fax_number": "906-789-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOULET",
        "first_name": "KAREN",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2009-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301062097",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "35953",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301062097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4979474",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Escanaba, MI

Sources for this page

Verify at the official NPI Registry.