Scott Gregory Hentkowski, PA-C
Individual provider Active NPI Physician Assistant · Negaunee, MI
NPI 1417680927 · NPPES record last updated Jun 24, 2025
Key facts
- NPI
- 1417680927
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5601013121 (MI)
- Practice address
- 505 Prince St
Negaunee, MI 49866-1421 - Phone
- (906) 204-8736
- NPI assigned
- Jul 3, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 22
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Francis Hospital
Bellin Memorial Hospital Inc
Practice addresses (Care Compare)
3409 Ludington St
Escanaba, MI 49829-4213
440 Woodward Ave
Iron Mountain, MI 49801-4631
Phone (906) 776-9040
Hospital & facility affiliations
- Osf St Francis Hospital and Medical Group
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MI, WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250722003055 | MI | Practitioner - Physician Assistant | 7810403268 | Reassigns benefits to 2 organizations |
| I20250723003776 | WI | Practitioner - Physician Assistant | 7810403268 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Francis Hospital | Physician Assistant | Current |
Accepting new patients |
| St Francis Hospital | Current |
Accepting new patients | |
| Bellin Memorial Hospital Inc | Current |
Accepting new patients | |
| Bellin Memorial Hospital Inc | Current |
Accepting new patients | |
| Bellin Memorial Hospital Inc | Past | Accepting new patients | |
| St Francis Hospital | Past | Accepting new patients |
Locations
3409 Ludington St
Ste 104
Escanaba, MI 49829
Phone (906) 786-8343
3409 Ludington St
Ste 206
Escanaba, MI 49829
Phone (906) 786-7471
1711 S Stephenson Ave
Ste 215
Iron Mountain, MI 49801
Phone (906) 776-5955
440 Woodward Ave
Iron Mountain, MI 49801
Phone (906) 776-9040
1414 W Fair Ave
Ste 390
Marquette, MI 49855
Phone (906) 225-3881
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | 5601013121 | MI | Yes |
Addresses
Primary practice location
505 Prince St
Negaunee, MI 49866-1421
Mailing address
505 Prince St
Negaunee, MI 49866-1421
Other providers in Negaunee, MI
- Kenneth W Hammerman
- Stephanie Hanford
- Elissa M Harju
- Poppy Lynn Hatinger
- Kaitlynn Heiss
- Patricia A Hill
- Julianne Jacuzzo
- Jordan Jarvi
- Lorelei Johnson
- Randall M Johnson
All providers in Negaunee, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.