Active NPI
Krista Lynne McCarver, PAC
- Surgical Physician Assistant
- Novi, MI
National Provider Identifier
1801840335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Practice address
- 47601 Grand River Ave
Novi, MI 48374-1233 - Phone
- (248) 367-8366
- Fax
- (248) 465-4651
- NPI assigned
- May 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Medical Physician Assistant | 363AM0700X | |||
| Surgical Physician Assistant | 363AS0400X | Primary |
Addresses
Primary practice location
47601 Grand River Ave
Novi, MI 48374-1233
Mailing address
23081 Warner St
Farmington, MI 48336-3976
Phone (734) 625-8222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1065413 | Other | MI | NCCPA CERTIFICATE NUMBER |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
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.
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- Ann Arbor, MI
- NPI 1720347248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222387200000",
"number": "1801840335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23081 WARNER ST",
"city": "FARMINGTON",
"state": "MI",
"postal_code": "483363976",
"telephone_number": "734-625-8222",
"fax_number": "810-765-8169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47601 GRAND RIVER AVE",
"city": "NOVI",
"state": "MI",
"postal_code": "483741233",
"telephone_number": "248-367-8366",
"fax_number": "248-465-4651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARVER",
"first_name": "KRISTA",
"middle_name": "LYNNE",
"credential": "PAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-20",
"last_updated": "2008-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCCPA CERTIFICATE NUMBER",
"identifier": "1065413",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Novi, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.