Individual provider Active NPI

Kara Anne Keyes, PA-C

  • Physician Assistant
  • Midland, MI
National Provider Identifier
1790286748
Registry record updated Feb 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3007 N Saginaw Rd
Midland, MI 48640-4555
Phone
(989) 633-1400
NPI assigned
Feb 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2018

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 MI Primary

Addresses

Primary practice location

3007 N Saginaw Rd
Midland, MI 48640-4555

Mailing address

1265 E Miller Rd
Midland, MI 48640-8941
Phone (989) 600-2560

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
I20180319001674 MI Practitioner - Physician Assistant 2668734237 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Gladwin Physician Assistant CurrentSince Nov 4, 2018 Accepting new patients
Mymichigan Medical Center Gladwin CurrentSince Nov 4, 2018 Accepting new patients
Mymichigan Medical Group CurrentSince Apr 9, 2018 Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Apr 9, 2018 Accepting new patients

Locations

515 Quarter St
Gladwin, MI 48624
Phone (989) 246-6201

815 N Clare Ave
Harrison, MI 48625
Phone (989) 539-4096

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

3007 N Saginaw Rd
Midland, MI 48640

5785 E Broadway Rd
Mt Pleasant, MI 48858
Phone (989) 773-9421

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.

NPI Registry JSON

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519603200000",
    "number": "1790286748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 E MILLER RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486408941",
            "telephone_number": "989-600-2560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 N SAGINAW RD",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486404555",
            "telephone_number": "989-633-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYES",
        "first_name": "KARA",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-26",
        "last_updated": "2018-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.