Kara Emily Barley, PA

Individual provider Active NPI Physician Assistant · Marinette, WI

NPI 1851799092 · NPPES record last updated Oct 29, 2015

Key facts

NPI
1851799092
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
3460-23 (WI)
Practice address
3120 Riverside Ave
Gateb Building 1
Marinette, WI 54143-6007
Phone
(715) 732-2075
Fax
(715) 732-2092
NPI assigned
Dec 19, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 12

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.

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oconto Hospital and Medical Center Inc (217 clinicians)

Practice addresses (Care Compare)

2820 Roosevelt Rd
Marinette, WI 54143-3834
Phone (715) 735-5225

820 Arbutus Ave
Oconto, WI 54153-2004
Phone (920) 835-1100

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20150218000740 WI Practitioner - Physician Assistant 1658696554 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3460-23WIMDPhysician Assistant
3460WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oconto Hospital & Medical Center Inc Current
since Feb 9, 2015
Accepting new patients
Oconto Hospital & Medical Center Inc Current
since Feb 9, 2015
Accepting new patients

Locations

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100

Interoperability endpoints

  • Direct secure messaging: khines161003@direct.thedacare.org
  • Direct secure messaging: kbarley945279@direct.emplifyhealth.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3460-23 WI Yes

Addresses

Primary practice location

3120 Riverside Ave
Gateb Building 1
Marinette, WI 54143-6007

Mailing address

3120 Riverside Ave
Gateb Building 1
Marinette, WI 54143-6007
Phone (715) 732-2075

Other names

  • Kara E Hines Former name

Other providers in Marinette, WI

All providers in Marinette, WI · Physician Assistant in Wisconsin

Sources for this page

Verify at the official NPI Registry.