Individual provider Active NPI

Rachel Renee Carroll, PA-C

  • Medical Physician Assistant
  • Clinton Township, MI
National Provider Identifier
1760018808
Registry record updated May 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601009986 Issued in MI
Practice address
43475 Dalcoma Dr Ste 200
Clinton Township, MI 48038-3593
Phone
(865) 228-2518
Fax
(586) 228-2517
NPI assigned
Mar 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X 5601009986 MI Primary

Addresses

Primary practice location

43475 Dalcoma Dr Ste 200
Clinton Township, MI 48038-3593

Mailing address

43475 Dalcoma Dr Ste 200
Clinton Township, MI 48038-3593
Phone (586) 321-1139

Other names 1

  • Rachel Mackmin Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rmackmin691600@direct.hfhs.org Direct

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
I20201021002576 MI Practitioner - Physician Assistant 3779903216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Top Cardiology Associates of Michigan PLLCGroup PAC ID 8022336528, 5 clinicians

Practice addresses (Care Compare)

43475 Dalcoma Dr
Suite 200
Clinton Township, MI 48038-3593
Phone (586) 228-2518

Hospital & facility affiliations

  • Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047
  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601009986MIMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: rmackmin691600@direct.hfhs.org

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": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779408000000",
    "number": "1760018808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43475 DALCOMA DR STE 200",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480383593",
            "telephone_number": "586-321-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43475 DALCOMA DR STE 200",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480383593",
            "telephone_number": "865-228-2518",
            "fax_number": "586-228-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "RACHEL",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-20",
        "last_updated": "2026-05-22",
        "certification_date": "2026-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601009986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmackmin691600@direct.hfhs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "43475 Dalcoma Dr Ste 200",
            "city": "Clinton Township",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480383593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "MACKMIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.