Look up the most recent NPI and PECOS records

Kate Hartman

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

221 Michigan St NE Ste 300, Grand Rapids, MI 49503-2537

PECOS Enrollment

Based on the most recent information from CMS, provider Kate Hartman is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1487987715
Provider Type
Individual
Full Name
Hartman, Kate
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
9/18/2009
Last Updated
3/9/2022

Contact Information

Practice Location

221 Michigan St NE Ste 300, Grand Rapids, MI 49503-2537

(616) 459-7258

(616) 459-5215

Mailing Location

100 Michigan St NE, Mc 845, Grand Rapids, MI 49503-2560

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 5601006475 Michigan

Kate Hartman

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Otteman, Makayla Denae

Shaw, Emily Noelle

Cicerone-Carder, Anina L

Charles, Kara E

Joliat, Joanne

Vandeusen, Julie

Magnusson, Michelle Lynn

Breese, William R

Towns, Jenna Anne

Maatman, Caleb R