Active NPI
Lisa Marie Warack, PA-C
- Physician Assistant
- West Branch, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601004189
- Practice address
- 2463 S M 30
West Branch, MI 48661-9312 - Phone
- (989) 343-3261
- NPI assigned
- Apr 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601004189 | MI | Primary |
Addresses
Primary practice location
2463 S M 30
West Branch, MI 48661-9312
Mailing address
4790 W M 76
West Branch, MI 48661-8921
Phone (989) 345-2791
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2463 S M
Suite 30
West Branch, MI 48661-9312
Phone (989) 345-3660
335 E Houghton Ave
West Branch, MI 48661-1127
Phone (989) 343-3730
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Emergency Physicians LLP | Physician Assistant | Current | Accepting new patients |
| Mymichigan Medical Center West Branch | Current | Accepting new patients | |
| Mymichigan Medical Center Gladwin | Physician Assistant | Current | Accepting new patients |
| Mymichigan Medical Center Gladwin | Current | Accepting new patients |
Locations
75 Remit Dr
Ste 6895
Chicago, IL 60675
515 Quarter St
Gladwin, MI 48624
Phone (989) 246-6201
609 Quarter St
Ste 2
Gladwin, MI 48624
Phone (989) 246-6455
168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
2375 S M 30
West Branch, MI 48661
Phone (989) 343-3790
2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660
335 E Houghton Ave
West Branch, MI 48661
Phone (989) 343-3154
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.
-
- General Acute Care Hospital
- West Branch, MI
- NPI 1538566765
-
- General Practice Physician
- Gladwin, MI
- NPI 1881869774
Physician Assistant
-
- Emergency Medicine Physician
- Three Rivers, MI
- NPI 1205075074
-
- Emergency Medicine Physician
- Hillsdale, MI
- NPI 1770820953
Physician Assistant
-
- Medicare Defined Swing Bed Hospital Unit
- Gladwin, MI
- NPI 1588374813
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bay City, MI
- NPI 1528031226
-
- Rural Acute Care Hospital
- Grayling, MI
- NPI 1083010953
-
- Critical Access Hospital
- Gladwin, MI
- NPI 1235248071
-
- General Acute Care Hospital
- Midland, MI
- NPI 1376973149
-
- General Acute Care Hospital
- Midland, MI
- NPI 1902841414
-
- Family Medicine Physician
- West Branch, MI
- NPI 1518418292
Hospital
-
- General Acute Care Hospital
- West Branch, MI
- NPI 1538566765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360713600000",
"number": "1740303205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4790 W M 76",
"city": "WEST BRANCH",
"state": "MI",
"postal_code": "486618921",
"telephone_number": "989-345-2791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2463 S M 30",
"city": "WEST BRANCH",
"state": "MI",
"postal_code": "486619312",
"telephone_number": "989-343-3261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARACK",
"first_name": "LISA",
"middle_name": "MARIE",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-09",
"last_updated": "2013-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601004189",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Branch, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.