NPIMap

Individual provider Active NPI

Frederick Jason Kaspriak, PA-C

  • Physician Assistant
  • Cadillac, MI
National Provider Identifier
1497840938
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601004894 Issued in MI
Practice address
8872 Professional Drive Ste B
Cadillac, MI 49601
Phone
(231) 779-0320
Fax
(231) 779-1367
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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 5601004894 MI Primary

Addresses

Primary practice location

8872 Professional Drive Ste B
Cadillac, MI 49601

Mailing address

8872 Professional Drive Ste B
Cadillac, MI 49601-4960
Phone (231) 779-0320

Other practice location 1

1105 Sixth St
Traverse City, MI 49684-2345
Phone (231) 779-0320

Other practice location 2

1345 E Parkdale Ave
Manistee, MI 49660-9318
Phone (231) 398-1750

Other identifiers 1

IdentifierTypeStateIssuer
383547536OtherMICOMMERCIAL INSURANCES

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address office_referrals@cadortho.providersdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070420000426 MI Practitioner - Physician Assistant 0143325092 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Munson Healthcare Manistee HospitalGroup PAC ID 3072414333, 29 clinicians
Munson Healthcare CadillacGroup PAC ID 6305161514, 104 clinicians

Practice addresses (Care Compare)

1465 E Parkdale Ave
West Shore Medical Center
Manistee, MI 49660-9709
Phone (231) 723-3501

8872 Professional Dr
Suite B
Cadillac, MI 49601-8482
Phone (231) 779-0320

Hospital & facility affiliations

  • Munson Healthcare Cadillac Hospital Hospital, Cadillac, MI, CCN 230081
  • Munson Healthcare Manistee Hospital Hospital, Manistee, MI, CCN 230303

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Healthcare Manistee Hospital CurrentSince Oct 15, 2025 Accepting new patients
Munson Healthcare Manistee Hospital Current Accepting new patients
Munson Healthcare Cadillac Current Accepting new patients
Munson Healthcare Cadillac Current Accepting new patients
Munson Healthcare Cadillac Past Accepting new patients
Four Seasons Emergency Associates, PC Physician Assistant Past Accepting new patients
Munson Healthcare Manistee Hospital Past Accepting new patients

Locations

3782 Momentum Pl
Chicago, IL 60689

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

8872 Professional Dr
Ste B
Cadillac, MI 49601
Phone (231) 779-0320

1465 E Parkdale Ave
Manistee, MI 49660
Phone (231) 398-1000

1345 E Parkdale Ave
Manistee, MI 49660
Phone (231) 398-1740

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

Interoperability endpoints

  • Direct secure messaging: fkaspriak@direct.mhc.net

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1497840938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8872 PROFESSIONAL DRIVE STE B",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496014960",
            "telephone_number": "231-779-0320",
            "fax_number": "231-779-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8872 PROFESSIONAL DRIVE STE B",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "49601",
            "telephone_number": "231-779-0320",
            "fax_number": "231-779-1367"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 Sixth St",
            "address_purpose": "LOCATION",
            "city": "Traverse City",
            "state": "MI",
            "postal_code": "496842345",
            "country_code": "US",
            "telephone_number": "231-779-0320",
            "fax_number": "231-779-1367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1345 E Parkdale Ave",
            "address_purpose": "LOCATION",
            "city": "Manistee",
            "state": "MI",
            "postal_code": "496609318",
            "country_code": "US",
            "telephone_number": "231-398-1750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASPRIAK",
        "first_name": "FREDERICK",
        "middle_name": "JASON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCES",
            "identifier": "383547536",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office_referrals@cadortho.providersdirect.com",
            "affiliation": "N",
            "address_1": "8872 Professional Drive Ste B",
            "city": "Cadillac",
            "state": "MI",
            "country_code": "US",
            "postal_code": "49601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cadillac, MI

Sources for this page

Verify at the official NPI Registry.