Individual provider Active NPI

Jean Margaret-Mills Beatty, PA

  • Physician Assistant
  • Cadillac, MI
National Provider Identifier
1316993157
Registry record updated Oct 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601003205 Issued in MI
Practice address
400 Hobart St
Cadillac, MI 49601-2331
Phone
(231) 876-7200
NPI assigned
May 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2012

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 5601003205 MI Primary

Addresses

Primary practice location

400 Hobart St
Cadillac, MI 49601-2331

Mailing address

PO Box 58
Cadillac, MI 49601-0058
Phone (866) 898-7139

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
I20050328000517 MI Practitioner - Physician Assistant 4486600913 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Central MichiganGroup PAC ID 6103733092, 183 clinicians

Practice addresses (Care Compare)

1201 S Dr
Mt Pleasant, MI 48858-3255

1221 S Dr
Mount Pleasant, MI 48858-3257
Phone (989) 772-6811

Hospital & facility affiliations

  • McLaren Central Michigan Hospital, Mount Pleasant, MI, CCN 230080

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601003205MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Central Michigan CurrentSince Oct 1, 2016 Accepting new patients
McLaren Central Michigan CurrentSince Oct 1, 2016 Accepting new patients
McLaren Central Michigan Past Accepting new patients
Medical Rehabilitation Physicians PLC Past Accepting new patients
Henry P. Szelag, D.O., P.C. Past Accepting new patients
Four Seasons Emergency Associates, PC Physician Assistant Past Accepting new patients

Locations

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

2935 Health Pkwy
#P
Mt Pleasant, MI 48858
Phone (989) 772-1609

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

1201 South Dr
Ste 371
Mt Pleasant, MI 48858
Phone (989) 953-4169

2935 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 772-1609

322 E Wright Ave
Shepherd, MI 48883
Phone (989) 828-4614

Organizations & group practices 7

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 1

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350086400000",
    "number": "1316993157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496010058",
            "telephone_number": "866-898-7139",
            "fax_number": "616-975-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HOBART ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012331",
            "telephone_number": "231-876-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTY",
        "first_name": "JEAN",
        "middle_name": "MARGARET-MILLS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2012-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadillac, MI

Sources for this page

Verify at the official NPI Registry.