Individual provider Active NPI

Katie Henkel, PA-C

  • Medical Physician Assistant
  • Milford, MI
National Provider Identifier
1326582875
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601013076 Issued in MI
Practice address
343 River Oaks Dr
Milford, MI 48381-1037
Phone
(248) 717-1232
Fax
(248) 717-0150
NPI assigned
Dec 16, 2016
Last updated
May 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Medical Physician Assistant 363AM0700X PA0493 NV
Medical Physician Assistant 363AM0700X PA1800 NV
Medical Physician Assistant 363AM0700X 5601013076 MI Primary

Addresses

Primary practice location

343 River Oaks Dr
Milford, MI 48381-1037

Mailing address

343 River Oaks Dr
Milford, MI 48381-1037
Phone (248) 717-1232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170120002476 NV Practitioner - Physician Assistant 0941582225 Reassigns benefits to 3 organizations
I20250428002861 MI Practitioner - Physician Assistant 0941582225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lauren Presutti LLCGroup PAC ID 4981026580, 17 clinicians

Practice addresses (Care Compare)

343 River Oaks Dr
Milford, MI 48381-1037
Phone (248) 717-1232

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA0493NVMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
David Young Oh, LLC Physician Assistant Past Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1326582875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 RIVER OAKS DR",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483811037",
            "telephone_number": "248-717-1232",
            "fax_number": "248-717-0150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 RIVER OAKS DR",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483811037",
            "telephone_number": "248-717-1232",
            "fax_number": "248-717-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENKEL",
        "first_name": "KATIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-16",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA0493",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NV",
            "license": "PA1800",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601013076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MI

Sources for this page

Verify at the official NPI Registry.