Kaelin Magrath, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

102 N Adelaide St Ste 100
Fenton, MI 48430-2670

Phone

(727) 484-2173

NPI assigned

May 28, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fenton Medical CenterGroup PAC ID 4183605819, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Fenton Medical Center

  • Family Medicine Physician
  • Fenton, MI
  • NPI 1134165632
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1932949930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4979 LAKE BLUFF RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483232429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 N ADELAIDE ST STE 100",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484302670",
            "telephone_number": "727-484-2173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGRATH",
        "first_name": "KAELIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Luther, DPT
• Suzanne Lynch
• Mac Optical
• Mac Optical
• Tammy Mackenzie
• David Alan Mahan, BCHIS
• Hillary Margaret May Maier, LPC
• Jennifer E Malone
• Crystal D. Manney, LLMSW
• Jennifer Mannino, LPC

• Physician Assistant in Fenton, MI
• Providers in Fenton, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.