Krista S Anhalt, DO
Individual provider Active NPI Emergency Medicine Physician · Cheboygan, MI
NPI 1952445397 · NPPES record last updated Nov 10, 2023
Key facts
- NPI
- 1952445397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 5101015064 (MI)
- Practice address
- 748 S Main St
Cheboygan, MI 49721-2220 - Phone
- (231) 487-2490
- NPI assigned
- Feb 19, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Michigan State University College of Osteopathic Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Interlochen Emergency Group PC
Caberfae Emergency Group PC
Practice addresses (Care Compare)
1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-5000
1465 E Parkdale Ave
Manistee Hospital
Manistee, MI 49660-9709
Phone (231) 398-1000
Hospital & facility affiliations
- Paul Oliver Memorial Hospital
- Munson Healthcare Manistee Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051006000665 | MI | Practitioner - Emergency Medicine | 3971528167 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101015064 | MI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interlochen Emergency Group, P.C. | Emergency Medicine | Current |
Accepting new patients |
| Caberfae Emergency Group, P.C. | Emergency Medicine | Current |
Accepting new patients |
Locations
400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200
224 Park Ave
Frankfort, MI 49635
Phone (231) 352-2200
1465 E Parkdale Ave
Manistee, MI 49660
Phone (231) 398-1000
1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 5101015064 | MI | Yes |
Addresses
Primary practice location
748 S Main St
Cheboygan, MI 49721-2220
Mailing address
4100 Embassy Dr SE Ste 400
Grand Rapids, MI 49546-2416
Phone (616) 975-1845
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114788721 | Medicaid | MI | |
| MI51015064 | Other | MI | BLUE CROSS PIN |
| KA015064 | Other | MI | BLUE SHIELD PIN |
Other providers in Cheboygan, MI
- Alcona Citizens for Health, Inc
- Alcona Citizens for Health, Inc.
- Alcona Citizens for Health, Inc.
- Alcona Citizens for Health, Inc.
- Alcona Citizens for Health, Inc.
- Holly Kristin Arrol
- Lauren L Balsei
- Roderick Jay Baltzer
- Jason Michael Barkley
- Lauren Basinger
All providers in Cheboygan, MI · Emergency Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.