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Active NPI 1568098986 Individual Practitioner Female Practitioner

Kloe Shaye Carpenter , PA-C

Physician Assistant • Grand Rapids, MI

Professional Overview & Biography Verified Profile Summary

Kloe Carpenter, PA-C is a registered healthcare professional specializing in Physician Assistant in Grand Rapids, MI. Practice services are available at 4069 LAKE DR SE STE 315 under active NPI credentials.

Frequently performed procedures and clinical services include removal of impacted ear wax, established patient outpatient office visit, diagnostic exam of voice box using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4069 Lake Dr Se Ste 315

Grand Rapids, MI 495468816

Telephone 6162677758
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Grand Rapids, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.4 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
920 Specialists

Practicing in Grand Rapids, MI (7057 Statewide)

Telehealth Adoption Rate
17.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
57.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
69210 Removal of impacted ear wax
28 25 $142.00 $39.99
99213 Established patient office or other outpatient visit, typically 15 minutes
28 27 $157.00 $77.05
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
21 20 $228.00 $109.20

Medical Specialties & State Licenses

CMS Verified: 2024-12-02
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI 5601009861

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

30 Associated Practitioners
NPI 1003235755

Doctor of Medicine (M.D.)

NPI 1003508300

Doctor of Audiology

NPI 1023504024

Doctor of Audiology

NPI 1033899687

Doctor of Audiology

NPI 1043629231
NPI 1073351656

Doctor of Audiology

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location August 03, 2020

Registered at 4069 LAKE DR SE STE 315, GRAND RAPIDS, MI 495468816 (Tel: 6162677758)

📍
Updated Business Mailing Address August 03, 2020

Registered at 100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 495032560

NPI Profile Active March 17, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location March 17, 2020

Registered at 100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 495032560 (Tel: 6164866790)

📍
Updated Business Mailing Address March 17, 2020

Registered at 14836 PIPER LAKES TRL APT 302, GRAND HAVEN, MI 494179073

👤
Provider Name / Credentials Updated March 17, 2020

Recorded as KLOE CARPENTER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2020

Physician Assistant (License #5601009861 in MI)

🟢
Initial NPI Registration & Enumeration March 17, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568098986
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 17, 2020
Last Update: December 02, 2024
Sole Proprietor: No

Mailing Address

100 Michigan St Ne # Mc845

Grand Rapids, MI 495032560

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.