Individual provider Active NPI

Carmen Christine Simler, PA-C

  • Physician Assistant
  • Royal Oak, MI
National Provider Identifier
1750965471
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601010483 Issued in MI
Practice address
3535 W 13 Mile Rd Ste 247
Royal Oak, MI 48073-6770
Phone
(248) 288-9340
NPI assigned
May 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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 5601010483 MI Primary

Addresses

Primary practice location

3535 W 13 Mile Rd Ste 247
Royal Oak, MI 48073-6770

Mailing address

3455 N Woodward Ave
Royal Oak, MI 48073-6750
Phone (248) 288-9340

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
I20210611001433 MI Practitioner - Physician Assistant 4082014139 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Detroit Mercy School of Dentistry, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Kidney Consultants PCGroup PAC ID 1052207115, 45 clinicians

Practice addresses (Care Compare)

1701 S Blvd E
Suite 320
Rochester Hills, MI 48307-6117
Phone (248) 290-3345

3475 Starr Rd
Royal Oak, MI 48073-2100
Phone (248) 290-3111

4600 Investment Dr
Suite 290
Troy, MI 48098-6374
Phone (248) 267-5010

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

Interoperability endpoints

  • Direct secure messaging: csimler32726@direct.acumenmd.com

Organizations & group practices 1

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 3

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": "1620518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1750965471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3455 N WOODWARD AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736750",
            "telephone_number": "248-288-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 W 13 MILE RD STE 247",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736770",
            "telephone_number": "248-288-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMLER",
        "first_name": "CARMEN",
        "middle_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-09",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601010483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.