Katie E Wakeman, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

86255 Issued in MT

Practice address

1600 Hospital Way Logan Health Whitefish
Whitefish, MT 59937-7849

Phone

(406) 863-3500

Fax

(989) 837-9285

NPI assigned

Aug 21, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopaedic Associates of Muskegon PCGroup PAC ID 7214908045, 113 clinicians

Great Lakes Orthopaedic Center PCGroup PAC ID 1759371826, 36 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Paul Oliver Memorial Hospital Hospital, Frankfort, MI, CCN 231300
• Kalkaska Memorial Health Center Hospital, Kalkaska, MI, CCN 231301
• Munson Medical Center Hospital, Traverse City, MI, CCN 230097
• Munson Healthcare Grayling Hospital Hospital, Grayling, MI, CCN 230058
• Munson Healthcare Otsego Memorial Hospital Hospital, Gaylord, MI, CCN 230133

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: katie.wakeman.1@27291.direct.athenahealth.com

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.

• Great Lakes Orthopaedic Center, P.C.

  • Orthopaedic Surgery Physician
  • Traverse City, MI
  • NPI 1952323453
  Medicare reassignment Care Compare group
• Orthopaedic Associates of Muskegon, PC

  • Orthopaedic Surgery Physician
  • Muskegon, MI
  • NPI 1972566594
  Medicare reassignment Care Compare group
• Mymichigan Medical Center Alpena

  • Rural Health Clinic/Center
  • Alpena, MI
  • NPI 1144722604
  NPD (past)

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

• Kalkaska Memorial Health Center

  • Critical Access Hospital
  • Kalkaska, MI
  • NPI 1497751309
  Care Compare affiliation
• Munson Healthcare Grayling

  • Rural Acute Care Hospital
  • Grayling, MI
  • NPI 1083010953
  Care Compare affiliation
• Munson Healthcare Otsego Memorial Hospital

  • General Acute Care Hospital
  • Gaylord, MI
  • NPI 1124028972
  Care Compare affiliation
• Munson Medical Center

  • General Acute Care Hospital
  • Traverse City, MI
  • NPI 1952307852
  Care Compare affiliation
• Paul Oliver Memorial Hospital

  • Critical Access Hospital
  • Frankfort, MI
  • NPI 1427054360
  Care Compare affiliation

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1356534572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 HOSPITAL WAY LOGAN HEALTH WHITEFISH",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599377849",
            "telephone_number": "406-863-3581",
            "fax_number": "989-837-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HOSPITAL WAY LOGAN HEALTH WHITEFISH",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599377849",
            "telephone_number": "406-863-3500",
            "fax_number": "989-837-9285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKEMAN",
        "first_name": "KATIE",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601005012",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MT",
            "license": "86255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rodney Vaught
• Karen Elise Vesely, MD
• Mackenzie Vetter, DC
• Virginia Spradlin
• Jerod Lee Vradenburg, PHARM D
• Walgreen Co
• Christopher M Wambeke, D.C.
• Helen Weems, ARNP
• Kimberly Weichers, DPT
• Corbin Leigh Wellford, OD

• Medical Physician Assistant in Whitefish, MT
• Providers in Whitefish, MT by specialty
• Medical Physician Assistant in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.