NPIMap

Individual provider Active NPI

Andria Collette Carter, PA C

  • Physician Assistant
  • Reed City, MI
National Provider Identifier
1699766113
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601011220 Issued in MI
Practice address
300 N Patterson Rd
Reed City, MI 49677-8041
Phone
(231) 832-7170
NPI assigned
Nov 3, 2005
Last updated
Jan 3, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601011220 MI Primary
Physician Assistant 363A00000X PA03414 TX

Addresses

Primary practice location

300 N Patterson Rd
Reed City, MI 49677-8041

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221122002757 MI Practitioner - Physician Assistant 4789827759 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reed City Hospital CorporationGroup PAC ID 6406740695, 32 clinicians

Practice addresses (Care Compare)

300 N Patterson Rd
Corewell Health Reed City Hospital
Reed City, MI 49677-8041
Phone (231) 832-7170

4499 220TH Ave
Reed City, MI 49677-8593
Phone (231) 832-5817

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of Yoakum CurrentSince Jun 27, 2017 Accepting new patients
Mecosta County Medical Center CurrentSince Dec 1, 2022 Accepting new patients
Reed City Hospital Corporation CurrentSince Dec 1, 2022 Accepting new patients
Mecosta County Medical Center CurrentSince Dec 1, 2022 Accepting new patients
County of Yoakum CurrentSince Jun 27, 2017 Accepting new patients
Reed City Hospital Corporation CurrentSince Dec 1, 2022 Accepting new patients

Locations

14755 215th Ave
Big Rapids, MI 49307
Phone (231) 796-3200

605 Oak St
Big Rapids, MI 49307
Phone (231) 592-1079

5991 95th Ave
Evart, MI 49631
Phone (231) 734-5561

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

300 N Patterson Rd
Reed City, MI 49677
Phone (231) 832-3271

8354 100th Ave
Ste 1
Stanwood, MI 49346
Phone (231) 972-6000

412 Mustang Ave
Denver City, TX 79323
Phone (806) 592-2121

415 N Avenue F
Denver City, TX 79323
Phone (806) 592-9501

Interoperability endpoints

  • Direct secure messaging: acarter901724@epic00.corewelldirect.org

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1699766113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N PATTERSON RD",
            "city": "REED CITY",
            "state": "MI",
            "postal_code": "496778041",
            "telephone_number": "231-832-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "ANDRIA",
        "middle_name": "COLLETTE",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-03",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601011220",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA03414",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reed City, MI

Sources for this page

Verify at the official NPI Registry.