MRS. KATIE LYN RUTKOWSKI P.A.-C
NPI 1689956633
Physician Assistant in Clarkston, MI

Active since September 15, 2011PECOS EnrolledAccepts Medicare Assignment
5701 BOW POINTE DRIVE, SUITE 100, CLARKSTON, MI 48346(248) 625-2621(248) 625-2622 Get Directions Write a Review

NPPES record last updated: August 1, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 1, 2017, Jul 21, 2017 (2 updates tracked since 2017).

About Mrs. Katie Lyn Rutkowski P.a.-c NPPES

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

MRS. KATIE LYN RUTKOWSKI P.A.-C (NPI 1689956633) is an individual physician assistant in Clarkston, Michigan, licensed in Michigan (5601006183) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, is affiliated with Mclaren Oakland, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1689956633
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. KATIE LYN RUTKOWSKICredential: P.A.-C
Location Address5701 BOW POINTE DRIVE, SUITE 100Clarkston, MI 48346-3199
Mailing Address5701 Bow Pointe Drive, Suite 100Clarkston, MI 48346-3199 · (248) 625-2621 · Fax (248) 625-2622
Fax(248) 625-2622
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateSeptember 15, 2011
Last NPPES UpdateAugust 1, 20172 updates tracked since enumeration
NPI 1689956633 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 · 5601006183
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.

5701 BOW POINTE DRIVE, Clarkston, MI 48346

Other Identifiers 2

Medicare PINM39080071
Medicare PINMI4989355

Accepted Insurance

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

Mrs. Katie Lyn Rutkowski P.a.-c 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 ID9436310455
PECOS Enrollment IDI20120418000111
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.

Mclaren Oakland

Acute Care Hospitals · Pontiac, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230207
Location50 N Perry StPontiac, MI 48342 · Oakland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48346 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 8

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

Internal Medicine
5701 BOW POINTE DRIVE, SUITE 100
CLARKSTON, MI 48346
Family Medicine
5701 BOW POINTE DRIVE, SUITE 100
CLARKSTON, MI 48346
Family Medicine
5701 BOW POINTE DRIVE, SUITE 100
CLARKSTON, MI 48346
Allergy & Immunology
5701 BOW POINTE DRIVE, SUITE 110
CLARKSTON, MI 48346
Family Medicine
5701 BOW POINTE DRIVE, SUITE 100
CLARKSTON, MI 48346
Internal Medicine (Gastroenterology)
5701 BOW POINTE DRIVE, SUITE 370
CLARKSTON, MI 48346
Internal Medicine (Gastroenterology)
5701 BOW POINTE DRIVE, SUITE 370
CLARKSTON, MI 48346
Pediatrics
5701 BOW POINTE DRIVE, SUITE 100
CLARKSTON, MI 48346

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 Katie Rutkowski's NPI number?

The NPI number for Katie Rutkowski is 1689956633. It was assigned to this individual provider in the NPPES registry on September 15, 2011.

Where is Katie Rutkowski located?

Katie Rutkowski practices at 5701 Bow Pointe Drive Suite 100, Clarkston, MI 48346. The listed phone number is (248) 625-2621.

What is Katie Rutkowski's specialty?

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

Is Katie Rutkowski enrolled in Medicare?

Yes. Katie Rutkowski 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.

What insurance does Katie Rutkowski accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Katie Rutkowski 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.

Is Katie Rutkowski affiliated with any hospitals?

According to CMS data, Katie Rutkowski is affiliated with Mclaren Oakland.

When was this NPI record last updated?

The NPPES record for Katie Rutkowski was last updated on August 1, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.