Individual provider Active NPI

Susan Y. Beatty-Page, P.A.C.

  • Physician Assistant
  • Ossineke, MI
National Provider Identifier
1841220001
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601003207 Issued in MI
Practice address
11745 US Highway 23 S
Ossineke, MI 49766-9582
Phone
(989) 471-2156
NPI assigned
Jul 4, 2006
Last updated
Mar 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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 5601003207 MI Primary

Addresses

Primary practice location

11745 US Highway 23 S
Ossineke, MI 49766-9582

Mailing address

PO Box 279
Lincoln, MI 48742-0279
Phone (989) 736-8157

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address susan.beattypage.p1@direct.alcona.nextgenshare.com

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
I20060405000048 MI Practitioner - Physician Assistant 2961410782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alcona Citizens for Health IncGroup PAC ID 5991691958, 65 clinicians

Practice addresses (Care Compare)

11745 US Hwy 23 S
Alcona Health Centers Ossineke Ser
Ossineke, MI 49766-9582
Phone (989) 471-2156

205 N State St
Alcona Health Centers Harrisville
Harrisville, MI 48740-9255
Phone (989) 724-5655

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alcona Citizens for Health, Inc. Physician Assistant CurrentSince Jan 1, 2006 Accepting new patients
Alcona Citizens for Health, Inc. CurrentSince Jan 1, 2006 Accepting new patients
Alcona Citizens for Health Inc Past Accepting new patients

Locations

177 N Barlow Rd
Harrisville, MI 48740
Phone (989) 736-3020

11745 US Highway 23 S
Ossineke, MI 49766
Phone (989) 471-2156

Interoperability endpoints

  • Direct secure messaging: susan.beattypage.p1@direct.alcona.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1841220001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 279",
            "city": "LINCOLN",
            "state": "MI",
            "postal_code": "487420279",
            "telephone_number": "989-736-8157",
            "fax_number": "989-358-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11745 US HIGHWAY 23 S",
            "city": "OSSINEKE",
            "state": "MI",
            "postal_code": "497669582",
            "telephone_number": "989-471-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEATTY-PAGE",
        "first_name": "SUSAN",
        "middle_name": "Y.",
        "credential": "P.A.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "susan.beattypage.p1@direct.alcona.nextgenshare.com",
            "affiliation": "N",
            "address_1": "11745 US Highway 23 S",
            "city": "Ossineke",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497669582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ossineke, MI

Sources for this page

Verify at the official NPI Registry.