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JOHDINANN MARSHA OLIVE HARTLEY WACLAWSKI PAS
NPI 1013731124
Physician Assistant in Traverse City, MI

Active since November 14, 2024PECOS Enrolled
2200 DENDRINOS DRIVE, SUITE 102, TRAVERSE CITY, MI 49684(616) 331-5700(616) 331-5999 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Johdinann Marsha Olive Hartley Waclawski Pas NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHDINANN MARSHA OLIVE HARTLEY WACLAWSKI PAS (NPI 1013731124) is an individual physician assistant in Traverse City, Michigan and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013731124
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJOHDINANN MARSHA OLIVE HARTLEY WACLAWSKICredential: PAS
Location Address2200 DENDRINOS DRIVE, SUITE 102Traverse City, MI 49684
Mailing Address1 Campus Drive, 2015 James H. Zumberge HallAllendale, MI 49401-9403 · (616) 331-5700 · Fax (616) 331-5999
Phone(616) 331-5700
Fax(616) 331-5999
Sole ProprietorNo
Enumeration DateNovember 14, 2024
NPPES CertifiedNovember 14, 2024
✔ NPI 1013731124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
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.
2200 DENDRINOS DRIVE, Traverse City, MI 49684
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, McLaren Health Plan Community.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Johdinann Marsha Olive Hartley Waclawski Pas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johdinann Hartley Waclawski's NPI number?

The NPI number for Johdinann Hartley Waclawski is 1013731124. It was assigned to this individual provider in the NPPES registry on November 14, 2024.

Where is Johdinann Hartley Waclawski located?

Johdinann Hartley Waclawski practices at 2200 Dendrinos Drive Suite 102, Traverse City, MI 49684. The listed phone number is (616) 331-5700.

What is Johdinann Hartley Waclawski's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Johdinann Hartley Waclawski enrolled in Medicare?

Yes. Johdinann Hartley Waclawski is registered in the Medicare PECOS enrollment system.

What insurance does Johdinann Hartley Waclawski accept?

Health plans from Blue Care Network of Michigan and McLaren Health Plan Community list Johdinann Hartley Waclawski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Johdinann Hartley Waclawski was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.