Individual provider Active NPI

Anne Marie Tessmer, PAC

  • Physician Assistant
  • Roseville, MI
National Provider Identifier
1558378570
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601003175 Issued in MI
Practice address
18325 10 Mile Road
Suite 400
Roseville, MI 48066-4990
Phone
(586) 775-4594
Fax
(586) 775-4506
NPI assigned
Aug 2, 2006
Last updated
Jan 21, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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 5601003175 MI Primary

Addresses

Primary practice location

18325 10 Mile Road
Suite 400
Roseville, MI 48066-4990

Mailing address

18325 10 Mile Road
Suite 400
Roseville, MI 48066-4990
Phone (586) 775-4594

Other identifiers 1

IdentifierTypeStateIssuer
065 501 3550OtherMIBCBS

Other names 1

  • Anne Marie Blasen Other 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
I20050901000237 MI Practitioner - Physician Assistant 7517999345 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Wayne State University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optum Behavioral Care of Colorado PCGroup PAC ID 0941648463, shared by 13 NPIs, 196 clinicians

Practice addresses (Care Compare)

1455 S Lapeer Rd
Suite 175
Lake Orion, MI 48360-1467
Phone (248) 322-0001

888 W Big Beaver Rd
Suite 1450
Troy, MI 48084-4762
Phone (248) 244-8644

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601003175MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Macomb Hospital Corporation CurrentSince Jun 12, 2018 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Aug 2, 2015 Accepting new patients
Henry Ford Macomb Hospital Corporation CurrentSince Jun 12, 2018 Accepting new patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Apr 17, 2024 Accepting new patients
Henry Ford Health Macomb-Oakland Hospital CurrentSince Aug 2, 2015 Accepting new patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Apr 17, 2024 Accepting new patients
Center for Physical Medicine & Rehabilitation PC Past Accepting new patients
Macomb Neurology Associates PC Past Accepting new patients

Locations

2550 S Telegraph Rd
Ste 250
Bloomfld Hls, MI 48302
Phone (248) 322-0001

15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800

10785 S Saginaw St
Ste A
Grand Blanc, MI 48439
Phone (810) 695-0055

1455 S Lapeer Rd
Ste 175
Lake Orion, MI 48360
Phone (248) 322-0001

27483 Dequindre Rd
Ste 204
Madison Hts, MI 48071
Phone (248) 967-7326

23965 Novi Rd
Ste 130
Novi, MI 48375
Phone (248) 946-4664

1000 W University Dr
Ste 302
Rochester Hills, MI 48307
Phone (248) 269-9760

25195 Kelly Rd
Ste A
Roseville, MI 48066
Phone (586) 775-4594

888 W Big Beaver Rd
Ste 1450
Troy, MI 48084
Phone 2482448644 ext. 124

11900 E 12 Mile Rd
Ste 209
Warren, MI 48093
Phone (586) 552-2100

Interoperability endpoints

  • Direct secure messaging: anne.tessmer.1@28621.direct.athenahealth.com

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1558378570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18325 10 MILE ROAD",
            "address_2": "SUITE 400",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664990",
            "telephone_number": "586-775-4594",
            "fax_number": "586-775-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18325 10 MILE ROAD",
            "address_2": "SUITE 400",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664990",
            "telephone_number": "586-775-4594",
            "fax_number": "586-775-4506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESSMER",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "065 501 3550",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "BLASEN",
            "middle_name": "MARIE",
            "credential": "PAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Roseville, MI

Sources for this page

Verify at the official NPI Registry.