Active NPI
Haley Crites, PA-C
- Medical Physician Assistant
- Mattawan, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 5601006912
- Practice address
- 52375 N Main St
Box 89
Mattawan, MI 49071-9332 - Phone
- (269) 668-3348
- Fax
- (269) 668-7702
- NPI assigned
- Jan 28, 2014
- Last updated
- Mar 5, 2015
- 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 | 5601006912 | MI | Primary |
Addresses
Primary practice location
52375 N Main St
Box 89
Mattawan, MI 49071-9332
Mailing address
52375 N Main St
Box 89
Mattawan, MI 49071-9332
Phone (269) 668-3348
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronson Lakeview Hospital | Medical | Current | Accepting new patients |
| Western Michigan University | Current | Accepting new patients | |
| Bronson Lakeview Hospital | Current | Accepting new patients |
Locations
1903 W Michigan Ave
Kalamazoo, MI 49008
Phone (269) 387-3248
52375 N Main St
#89
Mattawan, MI 49071
Phone (269) 668-3348
451 Health Pkwy
Paw Paw, MI 49079
Phone (269) 655-1725
Organizations & group practices 3
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.
-
dba Bronson Medical Group
- Internal Medicine Physician
- Paw Paw, MI
- NPI 1235131137
Medical
-
- Health Service Clinic/Center
- Kalamazoo, MI
- NPI 1467470492
-
dba Bronson LakeView Family Care-Blue Star
- Rural Health Clinic/Center
- South Haven, MI
- NPI 1801538871
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425513600000",
"number": "1477976363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52375 N MAIN ST",
"address_2": "BOX 89",
"city": "MATTAWAN",
"state": "MI",
"postal_code": "490719332",
"telephone_number": "269-668-3348",
"fax_number": "269-668-7702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52375 N MAIN ST",
"address_2": "BOX 89",
"city": "MATTAWAN",
"state": "MI",
"postal_code": "490719332",
"telephone_number": "269-668-3348",
"fax_number": "269-668-7702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRITES",
"first_name": "HALEY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-28",
"last_updated": "2015-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MI",
"license": "5601006912",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mattawan, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.