Individual provider Active NPI

Catherine E Wilkerson, M.D.

  • Family Medicine Physician
  • Ann Arbor, MI
National Provider Identifier
1770693038
Registry record updated Mar 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
CW4301057196 Issued in MI
Practice address
1405 Culver Rd
Ann Arbor, MI 48103-2960
Phone
(734) 646-3953
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X CW4301057196 MI Primary

Addresses

Primary practice location

1405 Culver Rd
Ann Arbor, MI 48103-2960

Mailing address

1405 Culver Rd
Ann Arbor, MI 48103-2960
Phone (734) 646-3953

Other identifiers 3

IdentifierTypeStateIssuer
16987OtherMIM-CARE
C64246OtherMIHAP
4731587MedicaidMI

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050510001151 MI Practitioner - Preventive MedicinePractitioner - Family Practice 1557301462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Preventive Medicine
Education
University of Colorado School of Medicine, Denver, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chippewa County ClerkGroup PAC ID 2668975293, 2 clinicians

Practice addresses (Care Compare)

508 Ashmun St
Suite 120
Sault Sainte Marie, MI 49783-1976
Phone (906) 253-3103

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
CW4301057196MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chippewa County Health Department Shacc CurrentSince Jul 6, 2025 Accepting new patients
Pathology Associates Inc PC Current Accepting new patients
Chippewa County Clerk Current Accepting new patients
Hurley Medical Center Current Accepting new patients
Packard Health, Inc. Past Accepting new patients
Packard Health, Inc. Past Accepting new patients

Locations

1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000

508 Ashmun St
Ste 120
Sault South Marie, MI 49783
Phone (906) 253-3103

Interoperability endpoints

  • FHIR API: https://arrprd.metrohealth.net/fhir/api/FHIR/R4

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331510400000",
    "number": "1770693038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 CULVER RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032960",
            "telephone_number": "734-646-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 CULVER RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032960",
            "telephone_number": "734-646-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKERSON",
        "first_name": "CATHERINE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2012-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "CW4301057196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M-CARE",
            "identifier": "16987",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "C64246",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4731587",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.