Individual provider Active NPI

Kara Lynn Wilbert

  • Physician Assistant
  • Lansing, MI
National Provider Identifier
1356915367
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
4211 Glenburne Blvd
Lansing, MI 48911-2542
Phone
(810) 404-7428
NPI assigned
May 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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 Primary

Addresses

Primary practice location

4211 Glenburne Blvd
Lansing, MI 48911-2542

Mailing address

4211 Glenburne Blvd
Lansing, MI 48911-2542
Phone (810) 404-7428

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
I20220503001463 MI Practitioner - Physician Assistant 4082001417 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinton County Medical Center PC 27 clinicians

Practice addresses (Care Compare)

1005 S US Hwy 27
Saint Johns, MI 48879-2423
Phone (989) 224-3000

Hospital & facility affiliations

  • University of Michigan Health- Sparrow Clinton Hospital, Saint Johns, MI, CCN 231326

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clinton County Medical Center PC CurrentSince Apr 22, 2022 Accepting new patients

Locations

10673 E Carson City Rd
Carson City, MI 48811
Phone (989) 584-3153

123 E Cass St
Greenville, MI 48838
Phone (616) 221-4302

4185 E Grand River Ave
Howell, MI 48843
Phone (517) 546-9200

1005 S US Highway 27
#100
Saint Johns, MI 48879

1005 S US Highway 27
Ste 100
Saint Johns, MI 48879
Phone 9892243000616

Interoperability endpoints

  • Direct secure messaging: karawilbert@ccmedc.allscriptsdirect.net

Organizations & group practices 2

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": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1356915367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 GLENBURNE BLVD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489112542",
            "telephone_number": "810-404-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 GLENBURNE BLVD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489112542",
            "telephone_number": "810-404-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBERT",
        "first_name": "KARA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.