Individual provider Active NPI

Carli Marie Fletemier, PA-C

  • Physician Assistant
  • Lake Orion, MI
National Provider Identifier
1710648506
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601011627 Issued in MI
Practice address
1430 S Lapeer Rd
Lake Orion, MI 48360-1437
Phone
(248) 731-2141
NPI assigned
Jan 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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 5601011627 MI Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1430 S Lapeer Rd
Lake Orion, MI 48360-1437

Mailing address

1430 S Lapeer Rd
Lake Orion, MI 48360-1437
Phone (248) 731-2141

Other names 1

  • Carli Cammarata Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601011627MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Derbala Institute for Reproductive Immunology, PLLC CurrentSince May 7, 2023 Accepting new patients
Michigan Healthcare Professionals PC Past Accepting new patients

Locations

20480 Vernier Rd
Harper Woods, MI 48225
Phone (248) 938-0141

Interoperability endpoints

  • Direct secure messaging: carli.cammarata.1@29212.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1710648506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 S LAPEER RD",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483601437",
            "telephone_number": "248-731-2141",
            "fax_number": "833-673-0210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 S LAPEER RD",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483601437",
            "telephone_number": "248-731-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLETEMIER",
        "first_name": "CARLI",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601011627",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARLI",
            "last_name": "CAMMARATA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Orion, MI

Sources for this page

Verify at the official NPI Registry.