NPIMap

Individual provider Active NPI

Kaitlin Marie Lalonde, PA-C

  • Physician Assistant
  • Cheboygan, MI
National Provider Identifier
1922556190
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601007916 Issued in MI
Practice address
740 S Main St FL 2
Cheboygan, MI 49721-2220
Phone
(231) 627-7118
NPI assigned
Sep 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 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 5601007916 MI Primary

Addresses

Primary practice location

740 S Main St FL 2
Cheboygan, MI 49721-2220

Mailing address

1035 W Washington Ave
Alpena, MI 49707-2929
Phone (989) 736-9815

Other names 1

  • Kaitlin Marie Klingshirn Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kaitlin.lalonde.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
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161004000040 MI Practitioner - Physician Assistant 5193013381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
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)

177 N Barlow Rd
Harrisville, MI 48740-9607
Phone (989) 736-8157

181 N Barlow Rd
Ahc Tiger Health Extension
Harrisville, MI 48740-9607
Phone (989) 736-8716

740 S Main St FL
2 Alcona Health Center Cheboygan Camp
Cheboygan, MI 49721-2220
Phone (231) 627-7118

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 May 4, 2020 Accepting new patients
Alcona Citizens for Health, Inc. CurrentSince May 4, 2020 Accepting new patients
Alcona Citizens for Health Inc Past Accepting new patients

Locations

1035 W Washington Ave
Alpena, MI 49707

740 S Main St
Fl 2
Cheboygan, MI 49721
Phone (231) 627-7118

722 S Main St
Cheboygan, MI 49721
Phone (231) 627-1493

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

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.

Hospital & facility affiliations 5

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": "1473984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1922556190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 W WASHINGTON AVE",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497072929",
            "telephone_number": "989-736-9815",
            "fax_number": "989-358-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 S MAIN ST FL 2",
            "city": "CHEBOYGAN",
            "state": "MI",
            "postal_code": "497212220",
            "telephone_number": "231-627-7118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LALONDE",
        "first_name": "KAITLIN",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-16",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kaitlin.lalonde.p1@direct.alcona.nextgenshare.com",
            "affiliation": "N",
            "address_1": "740 S Main St Fl 2",
            "city": "Cheboygan",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497212220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KAITLIN",
            "last_name": "KLINGSHIRN",
            "middle_name": "MARIE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cheboygan, MI

Sources for this page

Verify at the official NPI Registry.