Individual provider Active NPI

Carey A Espinoza, PA

  • Physician Assistant
  • Marquette, MI
National Provider Identifier
1508840950
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601004114 Issued in MI
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

Updated by the provider on Jul 21, 2022

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 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

IdentifierTypeStateIssuer
5601004114OtherMIMICHIGAN LICENSE NUMBER

Other names 1

  • Carey A Hendrickson Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040614000669 MI Practitioner - Physician Assistant 3678557246 Reassigns benefits to 1 organization

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
DLP Marquette Physician Practices IncGroup PAC ID 9931359601, 193 clinicians

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 Hospital, Marquette, MI, CCN 230054

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601004114MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Marquette Physician Practices Inc CurrentSince Sep 1, 2012 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Sep 1, 2012 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.