JOHANNA-LEE ORCA-HANDYSIDE
NPI 1922606714
Physician Assistant in Three Rivers, MI

Active since October 13, 2020PECOS Enrolled
1021 HILL ST STE 100, THREE RIVERS, MI 49093(269) 273-8511 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2024, Oct 13, 2020 (2 updates tracked since 2020).

About Johanna-lee Orca-handyside NPPES

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

JOHANNA-LEE ORCA-HANDYSIDE (NPI 1922606714) is an individual physician assistant in Three Rivers, Michigan, licensed in Michigan (5601010072TMP20) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph Regional Medical Center, and maintains a secondary practice location in Mishawaka.

NPPES Registry Identity

NPI1922606714
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJOHANNA-LEE ORCA-HANDYSIDE
Location Address1021 HILL ST STE 100Three Rivers, MI 49093-2744
Mailing Address608 CottageSturgis, MI 49091-2206 · (269) 689-9041
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 13, 2020
Last NPPES UpdateAugust 5, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2023
NPI 1922606714 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 · 5601010072TMP20
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.
1021 HILL ST STE 100, Three Rivers, MI 49093

Secondary Practice Location 1

Location 1422 W McKinley Ave Ste BMishawaka, IN 46545-5522 · Phone (574) 666-2573 · Fax (574) 966-1437

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Johanna-lee Orca-handyside is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3375953912
PECOS Enrollment IDI20241021001531
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
23 services20 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Joseph Regional Medical Center

Acute Care Hospitals · Mishawaka, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150012
Location5215 Holy Cross PkwyMishawaka, IN 46545 · St. Joseph County
Emergency services Birthing friendly

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150058
Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49093 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

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

Internal Medicine
1021 HILL ST STE 100
THREE RIVERS, MI 49093

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 Johanna-lee Orca-handyside's NPI number?

The NPI number for Johanna-lee Orca-handyside is 1922606714. It was assigned to this individual provider in the NPPES registry on October 13, 2020.

Where is Johanna-lee Orca-handyside located?

Johanna-lee Orca-handyside practices at 1021 Hill St Ste 100, Three Rivers, MI 49093. The listed phone number is (269) 273-8511.

What is Johanna-lee Orca-handyside's specialty?

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

Is Johanna-lee Orca-handyside enrolled in Medicare?

Yes. Johanna-lee Orca-handyside is registered in the Medicare PECOS enrollment system.

Is Johanna-lee Orca-handyside affiliated with any hospitals?

According to CMS data, Johanna-lee Orca-handyside is affiliated with Saint Joseph Regional Medical Center and Memorial Hospital Of South Bend.

When was this NPI record last updated?

The NPPES record for Johanna-lee Orca-handyside was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.