Kerri Anne Katona, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601005615 Issued in MI

Practice address

3696 S Straits Hwy
Indian River, MI 49749-5136

Phone

(231) 238-0581

Fax

(231) 238-0586

NPI assigned

Sep 25, 2009

Last updated

Jan 30, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kerri Anne Prediger Former name

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

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bay Urgent Care and Family Practice PLLCGroup PAC ID 2466990585, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Bay Urgent Care and Family Practice PLLC

  • Urgent Care Clinic/Center
  • Petoskey, MI
  • NPI 1164260261
  Medicare reassignment Care Compare group
• Bay Street Orthopaedics PLLC

  • Orthopaedic Surgery Physician
  • Petoskey, MI
  • NPI 1174808992
  Medicare reassignment
• Munson Healthcare Otsego Memorial Hospital

  dba Munson Healthcare OMH Medical Group-Gaylord RHC

  • Rural Health Clinic/Center
  • Gaylord, MI
  • NPI 1164628426
  Medicare reassignment
• Bay Street Orthopaedics PLLC

  • Durable Medical Equipment & Medical Supplies
  • Gaylord, MI
  • NPI 1982238705
  NPD
• Munson Healthcare Otsego Memorial Hospital

  • Family Medicine Physician
  • Petoskey, MI
  • NPI 1639986565
  NPD
• Munson Healthcare Otsego Memorial Hospital

  dba MHC Great Lakes Plastic Surgery & Skin Center- Petoskey

  • Plastic Surgery Physician
  • Petoskey, MI
  • NPI 1770374530
  NPD

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

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422576000000",
    "number": "1689908550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 N OTSEGO AVE",
            "address_2": "SUITE 1",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351568",
            "telephone_number": "989-731-7708",
            "fax_number": "989-731-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3696 S STRAITS HWY",
            "city": "INDIAN RIVER",
            "state": "MI",
            "postal_code": "497495136",
            "telephone_number": "231-238-0581",
            "fax_number": "231-238-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATONA",
        "first_name": "KERRI",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-25",
        "last_updated": "2015-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "OF96004",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRI",
            "last_name": "PREDIGER",
            "middle_name": "ANNE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Indian River Family Dentistry PLLC
• Indian River Pharmacy
• Indian River Village Pharmacy Inc
• Jann la Dere MSW LLC
• Kane RX Inc (Modern Rx)
• Michael D Katona, NP
• Tammy Sue Kauffman, EMT/PHLEBOTOMIST
• Robert Clair Kenny, DC
• Jeffrey Jay Kiel, DO
• Seth William King, BCHHP

• Physician Assistant in Indian River, MI
• Providers in Indian River, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.