Individual provider Active NPI

Betsy Carroll Crist, PA-C

  • Physician Assistant
  • Homer, MI
National Provider Identifier
1386608107
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601001024 Issued in MI
Practice address
420 S Hillsdale St
Homer, MI 49245-1248
Phone
(517) 568-4481
Fax
(517) 568-3720
NPI assigned
Apr 17, 2006
Last updated
Aug 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2016

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 5601001024 MI Primary

Addresses

Primary practice location

420 S Hillsdale St
Homer, MI 49245-1248

Mailing address

420 S Hillsdale St
Homer, MI 49245-1248
Phone (517) 568-4481

Other names 1

  • Betsy Carroll Crist Former name

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
I20040320000223 MI Practitioner - Physician Assistant 3476444514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ella E M Brown Charitable CircleGroup PAC ID 1254228745, 172 clinicians

Practice addresses (Care Compare)

200 N Madison St
Marshall, MI 49068-1143
Phone (269) 781-4271

Merit-based Incentive Payment System (MIPS)

Final score
87.06 of 100Reported as group
Quality
85.32
Promoting interoperability
100
Improvement activities
40
Cost
71.56

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ella Em Brown Charitable Circle CurrentSince Oct 5, 2003 Accepting new patients
Ella E M Brown Charitable Circle Past Accepting new patients
Ella E M Brown Charitable Circle Past Accepting new patients

Locations

200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921

Interoperability endpoints

  • Direct secure messaging: betsy.carroll-crist.1@9698.direct.athenahealth.com

Organizations & group practices 4

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1386608107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S HILLSDALE ST",
            "city": "HOMER",
            "state": "MI",
            "postal_code": "492451248",
            "telephone_number": "517-568-4481",
            "fax_number": "517-568-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S HILLSDALE ST",
            "city": "HOMER",
            "state": "MI",
            "postal_code": "492451248",
            "telephone_number": "517-568-4481",
            "fax_number": "517-568-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL CRIST",
        "first_name": "BETSY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601001024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETSY",
            "last_name": "CARROLL CRIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Homer, MI

Sources for this page

Verify at the official NPI Registry.