Active NPI
Carol Ann Felcher, PA-C
- Physician Assistant
- Novi, MI
National Provider Identifier
1619195203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- MI56001852
- Practice address
- 25513 Dogwood LN
Novi, MI 48374-2160 - Phone
- (248) 348-5365
- NPI assigned
- Apr 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | MI56001852 | MI | Primary |
Addresses
Primary practice location
25513 Dogwood LN
Novi, MI 48374-2160
Mailing address
25513 Dogwood LN
Novi, MI 48374-2160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MI56001852 | MI | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619195203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25513 DOGWOOD LN",
"city": "NOVI",
"state": "MI",
"postal_code": "483742160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25513 DOGWOOD LN",
"city": "NOVI",
"state": "MI",
"postal_code": "483742160",
"telephone_number": "248-348-5365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELCHER",
"first_name": "CAROL",
"middle_name": "ANN",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "MI56001852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.