Individual provider Active NPI

Charisse O Hook, PA-C

  • Physician Assistant
  • Owosso, MI
National Provider Identifier
1891822292
Registry record updated Sep 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601004619 Issued in MI
Practice address
802 W King St Ste G
Owosso, MI 48867-2100
Phone
(989) 725-8124
Fax
(989) 723-1205
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 5601004619 MI
Physician Assistant 363A00000X 5601004619 MI Primary

Addresses

Primary practice location

802 W King St Ste G
Owosso, MI 48867-2100

Mailing address

802 W King St Ste G
Owosso, MI 48867-2100
Phone (989) 725-8124

Other identifiers 1

IdentifierTypeStateIssuer
1891822292MedicaidMI

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
I20060104000504 MI Practitioner - Physician Assistant 0244253375 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Michigan Behavioral Health, PCGroup PAC ID 2365338225, 4 clinicians

Practice addresses (Care Compare)

802 W King St
Suite G
Owosso, MI 48867-2100
Phone (989) 725-8124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601004619MIMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Community Health Network, Inc. CurrentSince Jul 2, 2007 Accepting new patients
Hamilton Community Health Network Inc. CurrentSince Jul 2, 2007 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Dec 1, 2025 Accepting new patients
Memorial Hospital PastSince Sep 24, 2023 Accepting new patients

Locations

225 E 5th St
Ste 300
Flint, MI 48502
Phone (810) 406-4912

2900 N Saginaw St
Flint, MI 48505
Phone (810) 789-9141

13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 5

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1891822292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 W KING ST STE G",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672100",
            "telephone_number": "989-725-8124",
            "fax_number": "989-723-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 W KING ST STE G",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672100",
            "telephone_number": "989-725-8124",
            "fax_number": "989-723-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOK",
        "first_name": "CHARISSE",
        "middle_name": "O",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2023-09-18",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MI",
            "license": "5601004619",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891822292",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owosso, MI

Sources for this page

Verify at the official NPI Registry.