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CAROL LYNN PIESIK PA
NPI 1457306987
Physician Assistant in Jackson, MI

Active since May 23, 2006PECOS EnrolledAccepts Medicare Assignment
110 N ELM AVE, JACKSON, MI 49202(517) 788-6760(517) 788-3029 Get Directions Write a Review

NPPES record last updated: March 14, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carol Lynn Piesik Pa NPPES

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

CAROL LYNN PIESIK PA (NPI 1457306987) is an individual physician assistant in Jackson, Michigan, licensed in Michigan (5601003005) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1457306987
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCAROL LYNN PIESIKCredential: PA
Location Address110 N ELM AVEJackson, MI 49202-3571
Mailing AddressDepartment 272801, Po Box 67000Detroit, MI 48267-2728 · (517) 841-6913 · Fax (517) 841-6917
Phone(517) 788-6760
Fax(517) 788-3029
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMay 23, 2006
Last NPPES UpdateMarch 14, 2008
✔ NPI 1457306987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601003005
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.
110 N ELM AVE, Jackson, MI 49202
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Other Identifiers 4

Medicare ID-Type UnspecifiedN79450009MI · Wa Foote Memorial
Medicare UPINS71153MI
Medicare PINC37626048MI
Medicare PINN88100019MI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carol Lynn Piesik Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749271500
PECOS Enrollment IDI20040520000554
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49202 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.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARELINK OF JACKSON, A COMMUNITY-OWNED SPECIALTY HOSPITAL
Hospitalist
110 N ELM AVE
JACKSON, MI 49202
Jackson County (517) 796-4475
JOSEPH PETER FARRELL DO
Emergency Medicine
110 N ELM AVE
JACKSON, MI 49202
Jackson County (517) 788-6760
DANIEL ROBERT FERMAGLICH MD
Pediatrics
110 N ELM AVE
JACKSON, MI 49202
Jackson County (517) 788-6760
UDAY KIRAN GUVVALA PT
Physical Therapist
110 N ELM AVE
JACKSON, MI 49202
Jackson County (517) 787-1440

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 Carol Piesik's NPI number?

The NPI number for Carol Piesik is 1457306987. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Where is Carol Piesik located?

Carol Piesik practices at 110 N Elm Ave, Jackson, MI 49202. The listed phone number is (517) 788-6760.

What is Carol Piesik's specialty?

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

Is Carol Piesik enrolled in Medicare?

Yes. Carol Piesik is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Carol Piesik affiliated with any hospitals?

According to CMS data, Carol Piesik is affiliated with Beaumont Hospital Royal Oak.

When was this NPI record last updated?

The NPPES record for Carol Piesik was last updated on March 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.