Individual provider Active NPI

Kathrine Rose Kranz, PA

  • Physician Assistant
  • Sterling Heights, MI
National Provider Identifier
1790917953
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601005582 Issued in MI
Practice address
13700 19 Mile Rd
Sterling Heights, MI 48313-2702
Phone
(586) 247-6020
NPI assigned
Aug 20, 2009
Last updated
Jun 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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 5601005582 MI Primary

Addresses

Primary practice location

13700 19 Mile Rd
Sterling Heights, MI 48313-2702

Mailing address

2200 N Squirrel Rd
Graham Health Center
Rochester, MI 48309-4402
Phone (248) 370-2341

Other practice location 1

2200 N Squirrel Rd
Graham Health Center
Rochester, MI 48309-4402
Phone (248) 370-2341

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
I20140110001277 MI Practitioner - Physician Assistant 9830327279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John S Demare DO PCGroup PAC ID 5698763480, 5 clinicians

Practice addresses (Care Compare)

13700 19 Mile Rd
Sterling Heights, MI 48313-2702
Phone (586) 247-6020

Hospital & facility affiliations

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: kathrinekranz@tfppllc.allscriptsdirect.net
  • Direct secure messaging: kkranz986926@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1790917953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N SQUIRREL RD",
            "address_2": "GRAHAM HEALTH CENTER",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483094402",
            "telephone_number": "248-370-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13700 19 MILE RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483132702",
            "telephone_number": "586-247-6020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 N Squirrel Rd",
            "address_2": "Graham Health Center",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MI",
            "postal_code": "483094402",
            "country_code": "US",
            "telephone_number": "248-370-2341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRANZ",
        "first_name": "KATHRINE",
        "middle_name": "ROSE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.