Carri Dawn McCarthy, NP-C
Individual provider Active NPI Gerontology Nurse Practitioner · Saint Joseph, MI
NPI 1689252116 · NPPES record last updated Mar 29, 2021
Key facts
- NPI
- 1689252116
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- 4704167106 (MI)
- Practice address
- 3800 Hollywood Rd Ste 104
Saint Joseph, MI 49085-8511 - Phone
- (269) 428-0819
- Fax
- (269) 428-0841
- NPI assigned
- Mar 29, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Region IV Area Agency on Aging Inc
Practice addresses (Care Compare)
2900 Lakeview Ave
Saint Joseph, MI 49085-2379
Phone (269) 983-0177
Hospital & facility affiliations
- Seasons Home Health Care
- Lakeland Hospital, St Joseph
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 81.36
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210512002496 | MI | Practitioner - Nurse Practitioner | 2769891290 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complexcare Medical Group Midwest M PLLC | Current |
Accepting new patients | |
| Theoria Medical | Current |
Accepting new patients | |
| Region IV Area Agency on Aging, Inc | Current |
Accepting new patients |
Locations
5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216
6700 W Outer Dr
Detroit, MI 48235
Phone (313) 836-1700
3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
320 Brigham St
Plainwell, MI 49080
Phone (269) 685-9805
2900 Lakeview Ave
Saint Joseph, MI 49085
Phone (269) 408-4322
288 Peace Blvd
Saint Joseph, MI 49085
Phone (269) 556-9050
Interoperability endpoints
- carri.mccarthy.1@27992.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 4704167106 | MI | Yes |
Addresses
Primary practice location
3800 Hollywood Rd Ste 104
Saint Joseph, MI 49085-8511
Mailing address
3800 Hollywood Rd Ste 104
Saint Joseph, MI 49085-8511
Phone (269) 428-0819
Other providers in Saint Joseph, MI
- Marc Karl Mavis
- Maynard Chiropractic PLLC
- Alan Emery Maynard
- Renita Rae Mayo-Swanigan
- Linda Marie McBryde
- Joseph Murray McCarthy
- Patricia M McCarthy
- Jessica McCaslin
- Sara McComish
- Hannah Joyce Newman McConnell
All providers in Saint Joseph, MI · Gerontology Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.