Active NPI
Carey A Espinoza, PA
- Physician Assistant
- Marquette, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601004114
- Practice address
- 580 W College Ave
Marquette, MI 49855-2736 - Phone
- (906) 225-3993
- Fax
- (906) 225-4589
- NPI assigned
- Nov 30, 2005
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601004114 | MI | Primary |
Addresses
Primary practice location
580 W College Ave
Marquette, MI 49855-2736
Mailing address
580 W College Ave
Marquette, MI 49855-2736
Phone (906) 225-3993
Other practice location 1
420 W Magnetic St
Suite ER
Marquette, MI 49855-2711
Phone (888) 674-0854
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5601004114 | Other | MI | MICHIGAN LICENSE NUMBER |
Other names 1
- Carey A Hendrickson
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 Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1414 W Fair Ave
Marquette, MI 49855-2675
5087 US Hwy 41 S
Harvey Marquette General Family Med
Marquette, MI 49855-9001
Phone (906) 249-5589
5089 US 41
Up Health System
Marquette, MI 49855-9001
Phone (906) 249-5589
Hospital & facility affiliations
- Uphs Marquette DLP Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601004114 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Marquette Physician Practices Inc | Current | Accepting new patients | |
| DLP Marquette Physician Practices Inc | Current | Accepting new patients | |
| DLP Marquette Physician Practices Inc | Physician Assistant | Past | Accepting new patients |
Locations
580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131
420 W Magnetic St
Marquette, MI 49855
Phone (906) 225-3540
1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864
420 W Magnetic St
Ste Er
Marquette, MI 49855
Phone (888) 674-0854
Interoperability endpoints
- carey.espinoza.1@8233.direct.athenahealth.com
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 and National Provider Directory roles.
-
- Obesity Medicine (Internal Medicine) Physician
- Marquette, MI
- NPI 1487902995
Physician Assistant
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Marquette, MI
- NPI 1073861431
-
- Rural Health Clinic/Center
- Marquette, MI
- NPI 1205635760
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Marquette, MI
- NPI 1568727048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1508840950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 W COLLEGE AVE",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498552736",
"telephone_number": "906-225-3993",
"fax_number": "906-225-4589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 W COLLEGE AVE",
"city": "MARQUETTE",
"state": "MI",
"postal_code": "498552736",
"telephone_number": "906-225-3993",
"fax_number": "906-225-4589"
}
],
"practiceLocations": [
{
"address_1": "420 W Magnetic St",
"address_2": "Suite ER",
"address_purpose": "LOCATION",
"city": "Marquette",
"state": "MI",
"postal_code": "498552711",
"country_code": "US",
"telephone_number": "888-674-0854",
"fax_number": "906-225-3370",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ESPINOZA",
"first_name": "CAREY",
"middle_name": "A",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-30",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601004114",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MICHIGAN LICENSE NUMBER",
"identifier": "5601004114",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CAREY",
"last_name": "HENDRICKSON",
"middle_name": "A",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Marquette, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.