Individual provider Active NPI

Colleen Joan Seavitte, PA-C

  • Physician Assistant
  • Whitmore Lake, MI
National Provider Identifier
1639483571
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601004954 Issued in MI
Practice address
10 Jennings Rd
Whitmore Lake, MI 48189-9410
Phone
(734) 257-9100
Fax
(734) 257-9099
NPI assigned
Aug 3, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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 5601004954 MI Primary

Addresses

Primary practice location

10 Jennings Rd
Whitmore Lake, MI 48189-9410

Mailing address

10 Jennings Rd
Whitmore Lake, MI 48189-9410
Phone (734) 257-9100

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
I20240626004283 MI Practitioner - Physician Assistant 8729049952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Iowa, RJ & L Carver College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hamilton Community Health Network IncGroup PAC ID 1254249196, 48 clinicians

Practice addresses (Care Compare)

10 Jennings Rd
Whitmore Lake, MI 48189-9410
Phone (810) 406-4246

225 E 5TH St
Suite 300
Flint, MI 48502-1641
Phone (810) 406-4916

Hospital & facility affiliations

  • University of Michigan Health System Hospital, Ann Arbor, MI, CCN 230046

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000615CTMDRegistered Dietitian
5601004954MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Community Health Network, Inc. CurrentSince Jun 17, 2024 Accepting new patients
Hamilton Community Health Network Inc. CurrentSince Jun 17, 2024 Accepting new patients

Locations

G3375 S Saginaw St
Flint, MI 48529
Phone (810) 743-6830

2900 N Saginaw St
Flint, MI 48505
Phone (810) 789-9141

225 E 5th St
Ste 300
Flint, MI 48502
Phone (810) 406-4912

10 Jennings Rd
Whitmore Lake, MI 48189
Phone (734) 257-9100

Interoperability endpoints

  • Direct secure messaging: colleen.seavitte.1@25862.direct.athenahealth.com

Organizations & group practices 2

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": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1639483571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 JENNINGS RD",
            "city": "WHITMORE LAKE",
            "state": "MI",
            "postal_code": "481899410",
            "telephone_number": "734-257-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 JENNINGS RD",
            "city": "WHITMORE LAKE",
            "state": "MI",
            "postal_code": "481899410",
            "telephone_number": "734-257-9100",
            "fax_number": "734-257-9099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAVITTE",
        "first_name": "COLLEEN",
        "middle_name": "JOAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-03",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitmore Lake, MI

Sources for this page

Verify at the official NPI Registry.