Individual provider Active NPI

Alyssa Marie Cartin, PA

  • Medical Physician Assistant
  • Kokomo, IN
National Provider Identifier
1700475951
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
10003323A Issued in IN
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

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

OrganizationSpecialtyStatusNew patients
Indiana Health Centers Inc CurrentSince Oct 2, 2024 Accepting new patients
Neighborhood Health Clinics, Inc CurrentSince Aug 9, 2021 Accepting new patients
Indiana Health Centers Inc CurrentSince Oct 2, 2024 Accepting new patients
Neighborhood Health Clinics, Inc CurrentSince Aug 9, 2021 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.

View all 19

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 63 clinicians

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 Hospital, Peru, IN, CCN 151318

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

Verify at the official NPI Registry.