Active NPI
Michelle Hartle, PA-C
- Medical Physician Assistant
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 5601008406
- Practice address
- 125 S Kalamazoo Mall Ste 204
Kalamazoo, MI 49007-4869 - Phone
- (269) 343-3900
- NPI assigned
- Sep 19, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 5601008406 | MI | Primary |
Addresses
Primary practice location
125 S Kalamazoo Mall Ste 204
Kalamazoo, MI 49007-4869
Mailing address
5809 Sandalwood Dr
Kalamazoo, MI 49048-6634
Phone (513) 917-3910
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.3 of 100
- Quality
- 70.94
- Improvement activities
- 40
- Cost
- 92.94
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Current | Accepting new patients | |
| Ascension Borgess Hospital | Current | Accepting new patients | |
| Ascension Borgess Hospital | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| Bronson Methodist Hospital | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165
411 Naomi St
Plainwell, MI 49080
Phone (269) 685-0700
4599 Towne Centre Rd
Saginaw, MI 48604
Phone (989) 497-3000
701 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691
Organizations & group practices 12
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.
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1568416311
-
- Emergency Medicine Physician
- Saginaw, MI
- NPI 1912687328
-
- Emergency Medicine Physician
- Three Rivers, MI
- NPI 1427730050
-
- Emergency Medicine Physician
- Detroit, MI
- NPI 1225083595
-
- Emergency Medicine Physician
- Detroit, MI
- NPI 1497920524
-
- Emergency Medical Services (Emergency Medicine) Physician
- Kalamazoo, MI
- NPI 1013021310
-
- Emergency Medicine Physician
- Kalamazoo, MI
- NPI 1750102323
-
- Urgent Care Clinic/Center
- Portage, MI
- NPI 1417130154
-
- Diagnostic Radiology Physician
- Kalamazoo, MI
- NPI 1518753441
-
- Emergency Medicine Physician
- Marshall, MI
- NPI 1578243796
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Hospitalist Physician
- Kalamazoo, MI
- NPI 1417961137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711843200000",
"number": "1477072635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5809 SANDALWOOD DR",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490486634",
"telephone_number": "513-917-3910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 S KALAMAZOO MALL STE 204",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490074869",
"telephone_number": "269-343-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTLE",
"first_name": "MICHELLE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-19",
"last_updated": "2024-03-31",
"certification_date": "2024-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MI",
"license": "5601008406",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2024; 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.