Individual provider Active NPI

Kathleen Reinke

  • Physician Assistant
  • Mason, MI
National Provider Identifier
1730623257
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
800 E Columbia St
Mason, MI 48854-1381
Phone
(517) 244-8900
NPI assigned
Dec 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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 Primary

Addresses

Primary practice location

800 E Columbia St
Mason, MI 48854-1381

Mailing address

800 E Columbia St
Mason, MI 48854-1381

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
I20170202001848 MI Practitioner - Physician Assistant 6800179599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2682 E Grand River Ave
East Lansing, MI 48823-5608

800 E Columbia St
Mason, MI 48854-1381

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W. Sparrow Hospital Association CurrentSince Jan 19, 2017 Accepting new patients
Sparrow Ionia Hospital Past Accepting new patients
Sparrow Carson Hospital Past Accepting new patients
Edward W. Sparrow Hospital Association Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

616 Meijer Dr
Charlotte, MI 48813
Phone (517) 541-5935

550 E Washington St
#1
Ionia, MI 48846

716 N Clippert St
Lansing, MI 48912
Phone (517) 253-4000

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

1004 E Michigan Ave
Lansing, MI 48912
Phone (517) 364-9790

1120 E Michigan Ave
Ste A
Lansing, MI 48912
Phone (517) 364-9777

800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900

Organizations & group practices 5

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.

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": "1482105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1730623257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 E COLUMBIA ST",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488541381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E COLUMBIA ST",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488541381",
            "telephone_number": "517-244-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINKE",
        "first_name": "KATHLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-19",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, MI

Sources for this page

Verify at the official NPI Registry.