KLOE SHAYE CARPENTER PA-C
NPI 1568098986
Physician Assistant in Grand Rapids, MI

Active since March 17, 2020
100/100
CMS Quality Rating
4069 LAKE DR SE STE 315, GRAND RAPIDS, MI 49546(616) 267-7758 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 2, 2024, Feb 19, 2021, Aug 3, 2020 and 1 more (4 updates tracked since 2020).

About Kloe Shaye Carpenter Pa-c NPPES

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

KLOE SHAYE CARPENTER PA-C (NPI 1568098986) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601009861) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1568098986
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKLOE SHAYE CARPENTERCredential: PA-C
Location Address4069 LAKE DR SE STE 315Grand Rapids, MI 49546-8816
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Enumeration DateMarch 17, 2020
Last NPPES UpdateDecember 2, 20244 updates tracked since enumeration
NPPES CertifiedDecember 2, 2024
NPI 1568098986 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 · 5601009861
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.

4069 LAKE DR SE STE 315, Grand Rapids, MI 49546

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
28 services25 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services27 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
21 services20 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Audiologist
4069 LAKE DR SE STE 315
GRAND RAPIDS, MI 49546
Audiologist
4069 LAKE DR SE STE 315
GRAND RAPIDS, MI 49546
Audiologist
4069 LAKE DR SE STE 315
GRAND RAPIDS, MI 49546
Internal Medicine (Geriatric Medicine)
4069 LAKE DR SE STE 315
GRAND RAPIDS, MI 49546
Audiologist
4069 LAKE DR SE STE 315
GRAND RAPIDS, MI 49546
Audiologist
4069 LAKE DR SE STE 315
GRAND RAPIDS, MI 49546
Nurse Practitioner
4069 LAKE DR SE STE 315
GRAND RAPIDS, MI 49546
Internal Medicine
4069 LAKE DR SE STE 315
GRAND RAPIDS, MI 49546

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 Kloe Carpenter's NPI number?

The NPI number for Kloe Carpenter is 1568098986. It was assigned to this individual provider in the NPPES registry on March 17, 2020.

Where is Kloe Carpenter located?

Kloe Carpenter practices at 4069 Lake Dr SE Ste 315, Grand Rapids, MI 49546. The listed phone number is (616) 267-7758.

What is Kloe Carpenter's specialty?

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

When was this NPI record last updated?

The NPPES record for Kloe Carpenter was last updated on December 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.