Individual provider Active NPI

Kari Jean Ewalt, MS, MA

  • Physician Assistant
  • Rochester Hills, MI
National Provider Identifier
1962559682
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601011398 Issued in MI
Practice address
1701 South Blvd E Ste 110
Rochester Hills, MI 48307-6118
Phone
(248) 853-0803
Fax
(248) 852-5859
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X 5601011398 MI Primary

Addresses

Primary practice location

1701 South Blvd E Ste 110
Rochester Hills, MI 48307-6118

Mailing address

1701 South Blvd E
Rochester Hills, MI 48307-6122
Phone (248) 853-0803

Other names 1

  • Ms. Kari Amend Former name

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
I20221027002151 MI Practitioner - Physician Assistant 4486021813 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
John E Tower DO PCGroup PAC ID 5092787465, 6 clinicians

Practice addresses (Care Compare)

3150 Livernois Rd
Suite 275
Troy, MI 48083-5034
Phone (248) 853-0803

Hospital & facility affiliations

  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Schoolcraft Memorial Hospital Hospital, Manistique, MI, CCN 231303
  • Beaumont Hospital - Grosse Pointe Hospital, Grosse Pointe, MI, CCN 230089

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601011398MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arcturus Healthcare PLC Single Specialty CurrentSince Jan 1, 2026 Accepting new patients
Arcturus Healthcare PLC CurrentSince Jan 1, 2026 Accepting new patients
Macomb Oakland Adult Medicine PC Single Specialty Current Accepting new patients

Locations

1701 South Blvd E
Ste 290
Rochester Hills, MI 48307
Phone (248) 997-7000

1701 South Blvd E
Rochester Hills, MI 48307
Phone (248) 293-1002

1701 South Blvd E
Ste 110
Rochester Hills, MI 48307
Phone (248) 853-0803

Interoperability endpoints

  • Direct secure messaging: kewalt769285@direct.hfhs.org
  • Direct secure messaging: kari.ewalt.p15@direct.aara1.nextgenshare.com

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.

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": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1962559682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SOUTH BLVD E",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076122",
            "telephone_number": "248-853-0803",
            "fax_number": "248-852-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SOUTH BLVD E STE 110",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076118",
            "telephone_number": "248-853-0803",
            "fax_number": "248-852-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWALT",
        "first_name": "KARI",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "MS, MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601011398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARI",
            "last_name": "AMEND",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.