Individual provider Active NPI

Deanna Lynn Geisler, PA-C

  • Medical Physician Assistant
  • Petoskey, MI
National Provider Identifier
1851622542
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601002137 Issued in MI
Practice address
4170 Cedar Bluff Dr.
Petoskey, MI 49770-9600
Phone
(231) 487-2230
Fax
(231) 487-6172
NPI assigned
Jan 20, 2010
Last updated
May 23, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601002137 MI
Medical Physician Assistant 363AM0700X 5601002137 MI Primary
Surgical Physician Assistant 363AS0400X 5601002137 MI

Addresses

Primary practice location

4170 Cedar Bluff Dr.
Petoskey, MI 49770-9600

Mailing address

4170 Cedar Bluff Dr.
Petoskey, MI 49770-9600
Phone (231) 487-2230

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
I20120220000922 MI Practitioner - Physician Assistant 0648438887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester Dermatology Clinic, P.C.Group PAC ID 8628147154, 3 clinicians

Practice addresses (Care Compare)

405 Barclay Cir
Rochester Hills, MI 48307-4573
Phone (248) 293-0800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.09 of 100Reported as individual
Quality
84.18
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601002137MIMDSurgical 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, 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": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1851622542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4170 CEDAR BLUFF DR.",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497709600",
            "telephone_number": "231-487-2230",
            "fax_number": "231-487-6172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4170 CEDAR BLUFF DR.",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497709600",
            "telephone_number": "231-487-2230",
            "fax_number": "231-487-6172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEISLER",
        "first_name": "DEANNA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-20",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601002137",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601002137",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MI",
            "license": "5601002137",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

Verify at the official NPI Registry.