Individual provider Active NPI

Abigail Ignagni, PA-C

  • Physician Assistant
  • Fraser, MI
National Provider Identifier
1700119658
Registry record updated Sep 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601005622 Issued in MI
Practice address
17717 Masonic
Fraser, MI 48026-3158
Phone
(586) 294-0600
NPI assigned
Sep 10, 2009
Last updated
Sep 10, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2009

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 5601005622 MI Primary

Addresses

Primary practice location

17717 Masonic
Fraser, MI 48026-3158

Mailing address

17717 Masonic
Fraser, MI 48026-3158
Phone (586) 294-0600

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
I20100106000112 MI Practitioner - Physician Assistant 5890836373 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blue Water Urgent Care PLLCGroup PAC ID 8123427895, 22 clinicians
Independent Observation Physicians PLLCGroup PAC ID 3577603604, 138 clinicians

Practice addresses (Care Compare)

1600 Gratiot Blvd
Marysville, MI 48040-1145
Phone (810) 676-3360

1612 10TH Ave
Port Huron, MI 48060-3303
Phone (810) 660-0242

22101 Moross Rd
Detroit, MI 48236-2148
Phone (313) 343-4000

2700 Pointe Tremble Rd
Algonac, MI 48001-1836
Phone (810) 662-2827

35284 23 Mile Rd
New Baltimore, MI 48047-2096
Phone (586) 335-3573

3941 24TH Ave
Fort Gratiot, MI 48059-4102
Phone (810) 882-9373

47601 Grand River Ave
Novi, MI 48374-1233
Phone (248) 465-4210

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601005622MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Water Urgent Care New Baltimore PastSince Jan 8, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: aignagni1132873@direct.hfhs.org

Organizations & group practices 8

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 2

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": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252540800000",
    "number": "1700119658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17717 MASONIC",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480263158",
            "telephone_number": "586-294-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17717 MASONIC",
            "city": "FRASER",
            "state": "MI",
            "postal_code": "480263158",
            "telephone_number": "586-294-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGNAGNI",
        "first_name": "ABIGAIL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fraser, MI

Sources for this page

Verify at the official NPI Registry.