Active NPI
Alyssa Marie Cartin, PA
- Medical Physician Assistant
- Kokomo, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 10003323A
- Practice address
- 3118 S Lafountain St
Kokomo, IN 46902-3710 - Phone
- (765) 864-4160
- Fax
- (765) 400-4467
- NPI assigned
- Jan 12, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 10003323A | IN | Primary |
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
3118 S Lafountain St
Kokomo, IN 46902-3710
Mailing address
8003 Castleway Dr
Indianapolis, IN 46250-1946
Phone (317) 576-1335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210826000575 | IN | Practitioner - Physician Assistant | 5698170868 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana Health Centers Inc | Current | Accepting new patients | |
| Neighborhood Health Clinics, Inc | Current | Accepting new patients | |
| Indiana Health Centers Inc | Current | Accepting new patients | |
| Neighborhood Health Clinics, Inc | Current | Accepting new patients | |
| Indiana Health Centers, Inc. | Past | Accepting new patients | |
| Indiana Health Centers, Inc. | Past | Accepting new patients | |
| Indiana Health Centers, Inc. | Past | Accepting new patients | |
| Indiana Health Centers, Inc | Past | Accepting new patients |
Locations
1717 S Calhoun St
Fort Wayne, IN 46802
Phone (260) 458-2641
1721 S Calhoun St
Fort Wayne, IN 46802
Phone (260) 458-2571
3350 E Paulding Rd
Fort Wayne, IN 46816
Phone (260) 423-2585
8003 Castleway Dr
Indianapolis, IN 46250
Phone (317) 576-1335
3118 S Lafountain St
Kokomo, IN 46902
Phone (765) 864-4160
1700 Dividend Dr
Logansport, IN 46947
Phone (574) 722-7407
3710 S Western Ave
Marion, IN 46953
Phone (765) 263-8577
661 E Main St
Peru, IN 46970
Phone (765) 472-2519
765 S Michigan St
South Bend, IN 46601
Phone (574) 235-7990
Organizations & group practices 19
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.
-
- Federally Qualified Health Center (FQHC)
- Indianapolis, IN
- NPI 1598776742
IN
-
- Federally Qualified Health Center (FQHC)
- Bedford, IN
- NPI 1093427999
-
- Federally Qualified Health Center (FQHC)
- Indianapolis, IN
- NPI 1942303086
-
- Federally Qualified Health Center (FQHC)
- Peru, IN
- NPI 1336373190
-
- Federally Qualified Health Center (FQHC)
- Marion, IN
- NPI 1619087624
-
- Federally Qualified Health Center (FQHC)
- Logansport, IN
- NPI 1669582664
-
- Federally Qualified Health Center (FQHC)
- Kokomo, IN
- NPI 1811007800
-
- Federally Qualified Health Center (FQHC)
- Seymour, IN
- NPI 1124434469
-
- Federally Qualified Health Center (FQHC)
- Marion, IN
- NPI 1215343389
-
- Federally Qualified Health Center (FQHC)
- Brownstown, IN
- NPI 1437873841
-
- Federally Qualified Health Center (FQHC)
- Spencer, IN
- NPI 1609315829
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Indiana Health Centers Inc
Practice addresses (Care Compare)
1700 Dividend Dr
Logansport, IN 46947-1572
Phone (574) 722-7407
3118 S Lafountain St
Kokomo, IN 46902-3710
Phone (765) 864-4160
661 E Main St
CHC of Miami County
Peru, IN 46970-2662
Phone (765) 472-2519
Hospital & facility affiliations
- Dukes Memorial Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730937600000",
"number": "1700475951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8003 CASTLEWAY DR",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462501946",
"telephone_number": "317-576-1335",
"fax_number": "317-343-6562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3118 S LAFOUNTAIN ST",
"city": "KOKOMO",
"state": "IN",
"postal_code": "469023710",
"telephone_number": "765-864-4160",
"fax_number": "765-400-4467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTIN",
"first_name": "ALYSSA",
"middle_name": "MARIE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-12",
"last_updated": "2024-11-07",
"certification_date": "2024-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IN",
"license": "10003323A",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kokomo, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.