Active NPI
Kerstin Lorelei Rieg, PA-C
- Physician Assistant
- Albany, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 326 S Pearl St
Albany, NY 12202-1914 - Phone
- (518) 449-0100
- Fax
- (518) 463-8580
- NPI assigned
- Dec 13, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601012076 | MI | |
| Physician Assistant | 363A00000X | NY | Primary |
Addresses
Primary practice location
326 S Pearl St
Albany, NY 12202-1914
Mailing address
1105 Sixth St
Traverse City, MI 49684-2345
Phone (231) 935-5000
Other practice location 1
829 N Center Ave Ste 130
Gaylord, MI 49735-1684
Phone (989) 731-7930
Other practice location 2
825 N Center Ave
Gaylord, MI 49735-1592
Phone (989) 731-7996
Other practice location 3
1100 E Michigan Ave
Grayling, MI 49738-1312
Phone (989) 348-5461
Other practice location 4
1250 E Michigan Ave Ste C
Grayling, MI 49738-7074
Phone (989) 348-0550
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | payer.credentialing@sphp.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
315 S Manning Blvd
Albany, NY 12208-1707
326 S Pearl St
Albany, NY 12202-1914
Phone (518) 449-0100
Hospital & facility affiliations
- St Peter'S Hospital
- Samaritan Hospital of Troy, New York
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601012076 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munson Healthcare Grayling | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| St. Peter'S Hospital of the City of Albany | Physician Assistant | Current | Accepting new patients |
| St. Peter'S Hospital of the City of Albany | Physician Assistant | Current | Accepting new patients |
| St. Peter'S Hospitalof the City of Albany | Physician Assistant | Past | Accepting new patients |
Locations
3781 Momentum Pl
Chicago, IL 60689
829 N Center Ave
Ste 130
Gaylord, MI 49735
Phone (989) 731-7930
825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100
829 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100
1250 E Michigan Ave
Ste C
Grayling, MI 49738
Phone (989) 348-0550
1250 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0550
1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317
1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000
326 S Pearl St
Albany, NY 12202
Phone (518) 449-0100
315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852
Interoperability endpoints
- krieg3579383@direct.trinity-health.org
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Albany, NY
- NPI 1518042357
Physician Assistant
-
- Rural Health Clinic/Center
- Gaylord, MI
- NPI 1164628426
-
- Rural Health Clinic/Center
- Roscommon, MI
- NPI 1710383351
-
- General Acute Care Hospital
- Albany, NY
- NPI 1497701106
Physician Assistant
-
- Family Medicine Physician
- Grayling, MI
- NPI 1578961660
-
- Plastic Surgery Physician
- Petoskey, MI
- NPI 1770374530
-
- Obstetrics & Gynecology Physician
- Albany, NY
- NPI 1386715621
Physician Assistant
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
-
- General Acute Care Hospital
- Albany, NY
- NPI 1497701106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1972371508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 SIXTH ST",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496842345",
"telephone_number": "231-935-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 S PEARL ST",
"city": "ALBANY",
"state": "NY",
"postal_code": "122021914",
"telephone_number": "518-449-0100",
"fax_number": "518-463-8580"
}
],
"practiceLocations": [
{
"address_1": "829 N Center Ave Ste 130",
"address_purpose": "LOCATION",
"city": "Gaylord",
"state": "MI",
"postal_code": "497351684",
"country_code": "US",
"telephone_number": "989-731-7930",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "825 N Center Ave",
"address_purpose": "LOCATION",
"city": "Gaylord",
"state": "MI",
"postal_code": "497351592",
"country_code": "US",
"telephone_number": "989-731-7996",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1100 E Michigan Ave",
"address_purpose": "LOCATION",
"city": "Grayling",
"state": "MI",
"postal_code": "497381312",
"country_code": "US",
"telephone_number": "989-348-5461",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1250 E Michigan Ave Ste C",
"address_purpose": "LOCATION",
"city": "Grayling",
"state": "MI",
"postal_code": "497387074",
"country_code": "US",
"telephone_number": "989-348-0550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIEG",
"first_name": "KERSTIN",
"middle_name": "LORELEI",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-13",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601012076",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "payer.credentialing@sphp.com",
"affiliation": "N",
"endpointDescription": "SPHP- Payer Credentialing",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "326 S Pearl St",
"city": "Albany",
"state": "NY",
"country_code": "US",
"postal_code": "122021914",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.