Kristen J Fitzpatrick, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00181800 Issued in NJ

Practice address

32669 Warren Rd
Garden City, MI 48135-1677

Phone

(734) 762-0798

Fax

(734) 762-6682

NPI assigned

Jul 27, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Precision DermatologyGroup PAC ID 1759816432, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Precision Dermatology

  • Dermatology Physician
  • Waterford, MI
  • NPI 1366262156

  MI

  Medicare reassignment Care Compare group
• SVC Dermatology PC

  • Dermatology Physician
  • Fenton, MI
  • NPI 1174565600

  MI

  Medicare reassignment
• Atlantic Skin & Cosmetic Surgery Group, P.C.

  • Dermatology Physician
  • Wilmington, DE
  • NPI 1073556874
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Joseph Mercy Hospital-SMHC

  • General Acute Care Hospital
  • Pontiac, MI
  • NPI 1053356352

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1487844239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42796 LILLEY POINTE DR",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481875324",
            "telephone_number": "260-615-2970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32669 WARREN RD",
            "city": "GARDEN CITY",
            "state": "MI",
            "postal_code": "481351677",
            "telephone_number": "734-762-0798",
            "fax_number": "734-762-6682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1350 W Huron St",
            "address_purpose": "LOCATION",
            "city": "Waterford",
            "state": "MI",
            "postal_code": "483283641",
            "country_code": "US",
            "telephone_number": "248-682-9611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FITZPATRICK",
        "first_name": "KRISTEN",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-27",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00181800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487844239",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Daniel Collen Fischer, D.D.S.
• Stephen A Florkowski, DDS
• Andrew Agauleto Fondelli, M.D.
• Ford Physical Therapy LLC
• Forever Friends Adult Day Center
• Krystal Fox

• All providers in Garden City, MI
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.

Verify at the official NPI Registry.