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CARLEY JO HUELSKAMP PA-C NPI 1093409054


NPI Information

NPI: 1093409054
Provider Name: CARLEY JO HUELSKAMP, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
4851 E PICKARD ST STE 1760
MT PLEASANT, MI
ZIP 48858
Phone: (989) 775-1610
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Carley Jo Huelskamp, PA-C is a medical physician assistant in Mt Pleasant, MI with 1 years of experience. Carley Jo Huelskamp, PA-C NPI is 1093409054. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2023

The provider's business location address is:

4851 E PICKARD ST STE 1760
MT PLEASANT, MI
ZIP 48858-038
Phone: (989) 775-1610

The NPI 1093409054 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/5/2023 and was last updated on 4/4/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207P00000XEmergency Medicine5601011784MICHIGANNo
2208000000XPediatrics5601011784MICHIGANNo
3363AM0700XPhysician AssistantMedical5601011784MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.