Individual provider Active NPI

Kali Corinne Vanstee, PA-C

  • Physician Assistant
  • Cadillac, MI
National Provider Identifier
1609162957
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601006147 Issued in MI
Practice address
302 Hobart St
Cadillac, MI 49601-2379
Phone
(231) 876-2644
Fax
(231) 876-5106
NPI assigned
Jun 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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 5601006147 MI Primary

Addresses

Primary practice location

302 Hobart St
Cadillac, MI 49601-2379

Mailing address

302 Hobart St
Cadillac, MI 49601-2379
Phone (231) 876-2644

Other practice location 1

111 E Church St
Tustin, MI 49688-5114
Phone (231) 832-8560

Other practice location 2

8805 Pine Ridge Dr
Cadillac, MI 49601-7064
Phone (231) 946-1489

Other practice location 3

419 S Coral St
Kalkaska, MI 49646-2503
Phone (231) 258-7506

Other names 1

  • Kali White 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
I20120327000557 MI Practitioner - Physician Assistant 9931369089 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brian D Heeringa PCGroup PAC ID 7315256922, 2 clinicians
Kalkaska Memorial Health CenterGroup PAC ID 3577536002, 57 clinicians

Practice addresses (Care Compare)

321 Long Rapids PLZ
Alpena, MI 49707-1375
Phone (231) 946-1488

419 S Coral St
Kalkaska, MI 49646-2503
Phone (231) 258-7500

440 Cobb St
Cadillac, MI 49601-2542
Phone (231) 946-1488

880 Munson Ave
Suite a
Traverse City, MI 49686-3661
Phone (231) 946-1488

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
016553NYMDPediatric Physical Therapist
5601006147MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kalkaska Memorial Health Center CurrentSince Feb 13, 2024 Accepting new patients
Kalkaska Memorial Health Center CurrentSince Feb 13, 2024 Accepting new patients
Arthur R Jeynes DPM PC PastSince Jan 26, 2001 Accepting new patients
Kalkaska Memorial Health Center Physician Assistant Past Accepting new patients

Locations

419 S Coral St
Kalkaska, MI 49646
Phone (231) 258-7500

Organizations & group practices 10

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 2

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": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1609162957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 HOBART ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012379",
            "telephone_number": "231-876-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 HOBART ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012379",
            "telephone_number": "231-876-2644",
            "fax_number": "231-876-5106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 E Church St",
            "address_purpose": "LOCATION",
            "city": "Tustin",
            "state": "MI",
            "postal_code": "496885114",
            "country_code": "US",
            "telephone_number": "231-832-8560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8805 Pine Ridge Dr",
            "address_purpose": "LOCATION",
            "city": "Cadillac",
            "state": "MI",
            "postal_code": "496017064",
            "country_code": "US",
            "telephone_number": "231-946-1489",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "419 S Coral St",
            "address_purpose": "LOCATION",
            "city": "Kalkaska",
            "state": "MI",
            "postal_code": "496462503",
            "country_code": "US",
            "telephone_number": "231-258-7506",
            "fax_number": "231-258-7592",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANSTEE",
        "first_name": "KALI",
        "middle_name": "CORINNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-24",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KALI",
            "last_name": "WHITE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cadillac, MI

Sources for this page

Verify at the official NPI Registry.