Individual provider Active NPI

Marcella Hill, PA-C

  • Physician Assistant
  • Elmira, MI
National Provider Identifier
1831345263
Registry record updated Feb 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601005324 Issued in MI
Practice address
2572 N US Highway 131
Elmira, MI 49730-8252
Phone
(989) 731-7700
Fax
(989) 731-2999
NPI assigned
Aug 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2015

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 5601005324 MI Primary

Addresses

Primary practice location

2572 N US Highway 131
Elmira, MI 49730-8252

Mailing address

850 N Otsego Ave
Suite 1
Gaylord, MI 49735-1568
Phone (989) 731-7777

Other identifiers 1

IdentifierTypeStateIssuer
OF96004OtherMIMEDICARE GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080909000508 MI Practitioner - Physician Assistant 5193891596

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Central Michigan CurrentSince Nov 1, 2020 Accepting new patients
McLaren Central Michigan CurrentSince Nov 1, 2020 Accepting new patients
McLaren Northern Michigan Past Accepting new patients

Locations

748 S Main St
Cheboygan, MI 49721
Phone (231) 627-5601

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

560 W Mitchell St
Ste 340
Petoskey, MI 49770
Phone (231) 348-9710

416 Connable Ave
Ste Hpa
Petoskey, MI 49770

Organizations & group practices 3

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": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424390400000",
    "number": "1831345263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 N OTSEGO AVE",
            "address_2": "SUITE 1",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351568",
            "telephone_number": "989-731-7777",
            "fax_number": "989-731-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2572 N US HIGHWAY 131",
            "city": "ELMIRA",
            "state": "MI",
            "postal_code": "497308252",
            "telephone_number": "989-731-7700",
            "fax_number": "989-731-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "MARCELLA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-18",
        "last_updated": "2015-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "OF96004",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, MI

Sources for this page

Verify at the official NPI Registry.