Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1831447770 Individual Practitioner Female Practitioner

Nicole Roth , PA

Physician Assistant • Munising, MI

Professional Overview & Biography Verified Profile Summary

Nicole Roth, PA is a registered healthcare professional specializing in Physician Assistant in Munising, MI. Practice services are available at 1500 SANDPOINT RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1500 Sandpoint Rd

Munising, MI 498621406

Telephone 9063874110
Associated Practice Facility / Clinic
🏢 Great Lakes Recovery Centers Facility NPI 1619202447

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Munising, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
8 Specialists

Practicing in Munising, MI (7057 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI 5601006425

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Rhc Certification Number
23-8650 (MI)

Practice Associates & Co-Workers

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

6 Associated Practitioners
Paula Ackerman , MS RD CDE

Dietitian, Registered

NPI 1154592491

MSRDCDE

Myrth Condon , NP

Nurse Practitioner - Family

NPI 1184690760

Nurse Practitioner

Bonnie Kilpela , PA

Physician Assistant

NPI 1326022286

Physician Assistant

Jan Prokosch , FNP-C

Nurse Practitioner

NPI 1639105372

Family Nurse Practitioner (Certified)

Dylan Koenig , PA

Physician Assistant

NPI 1780156232

Physician Assistant

Bridget Stoetzer

Physician Assistant

NPI 1952013575

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 02, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 02, 2013

Registered at 1500 SANDPOINT RD, MUNISING, MI 498621406 (Tel: 9063874110)

📍
Updated Business Mailing Address July 02, 2013

Registered at 1500 SANDPOINT RD, MUNISING, MI 498621406

👤
Provider Name / Credentials Updated July 02, 2013

Recorded as NICOLE ROTH, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2013

Physician Assistant (License #5601006425 in MI)

🟢
Initial NPI Registration & Enumeration August 27, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Nicole Roth. Be the first to share your experience!

Sign in to leave a review for Nicole Roth

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1831447770
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 27, 2012
Last Update: July 02, 2013
Sole Proprietor: No

Mailing Address

1500 Sandpoint Rd

Munising, MI 498621406

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.