NPIMap

Individual provider Active NPI

Angela Fay Asa, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Auburn, MI
National Provider Identifier
1992955264
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601005347 Issued in MI
Practice address
939 W Midland Rd
Auburn, MI 48611-9420
Phone
(989) 662-2740
Fax
(989) 662-2745
NPI assigned
Sep 23, 2008
Last updated
Aug 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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 5601005347 MI Primary

Addresses

Primary practice location

939 W Midland Rd
Auburn, MI 48611-9420

Mailing address

4000 Wellness Dr
Midland, MI 48670-9420
Phone (989) 400-3652

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
I20120727000784 MI Practitioner - Physician Assistant 2567628076 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mymichigan Medical Center MidlandGroup PAC ID 2264323633, 507 clinicians

Practice addresses (Care Compare)

4500 Campus Ridge Dr
Midland, MI 48640-6123
Phone (989) 837-9250

939 W Midland Rd
Mymichigan Family Medicine
Auburn, MI 48611-9420
Phone (989) 662-2740

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601005347MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center, Inc CurrentSince May 7, 2013 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Sep 9, 2023 Accepting new patients
Cornell Health and Wellness Physician Assistant Past Accepting new patients

Locations

1910 Pine Ave
Alma, MI 48801
Phone (989) 463-3101

939 W Midland Rd
Auburn, MI 48611
Phone (989) 662-2740

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

Interoperability endpoints

  • Direct secure messaging: aasa@sagchip.directbygreenway.com
  • Direct secure messaging: aasa59570@mymichiganhealth.midirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1222128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1992955264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486709420",
            "telephone_number": "989-400-3652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 W MIDLAND RD",
            "city": "AUBURN",
            "state": "MI",
            "postal_code": "486119420",
            "telephone_number": "989-662-2740",
            "fax_number": "989-662-2745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASA",
        "first_name": "ANGELA",
        "middle_name": "FAY",
        "name_prefix": "Ms.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, MI

Sources for this page

Verify at the official NPI Registry.