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KATHRYN CPAK PA-C
NPI 1992008759
Physician Assistant - Medical in Port Huron, MI

Active since December 15, 2010PECOS Enrolled
940 RIVER CENTRE DR, PORT HURON, MI 48060(810) 985-4900 Get Directions Write a Review

NPPES record last updated: March 4, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kathryn Cpak Pa-c NPPES

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

KATHRYN CPAK PA-C (NPI 1992008759) is an individual medical provider in Port Huron, Michigan, licensed in Michigan (5601005859) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992008759
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKATHRYN CPAKCredential: PA-C
Location Address940 RIVER CENTRE DRPort Huron, MI 48060-4463
Mailing Address940 River Centre DrPort Huron, MI 48060-4463 · (810) 985-4900
Phone(810) 985-4900
Sole ProprietorNo
Enumeration DateDecember 15, 2010
Last NPPES UpdateMarch 4, 2013
✔ NPI 1992008759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MI · 5601005859
940 RIVER CENTRE DR, Port Huron, MI 48060
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn Cpak Pa-c 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.

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.

ORTHOPEDIC ASSOCIATES OF PORT HURON PC
Durable Medical Equipment & Medical Supplies
940 RIVER CENTRE DR
PORT HURON, MI 48060
St. Clair County (810) 985-4900
ASHLEY LAUREN WILSON PA-C
Physician Assistant
940 RIVER CENTRE DR
PORT HURON, MI 48060
St. Clair County (810) 985-4900
MRS. LAURA ANN KINSLEY PT
Physical Therapist
940 RIVER CENTRE DR
PORT HURON, MI 48060
St. Clair County (810) 985-4900
ORTHOPEDIC ASSOCIATES OF PORT HURON, PC
Radiology (Diagnostic Radiology)
940 RIVER CENTRE DR
PORT HURON, MI 48060
St. Clair County (810) 985-4900
MRS. KRISTA MARQUARDT MPT, CHT
Physical Therapist
940 RIVER CENTRE DR
PORT HURON, MI 48060
St. Clair County (810) 985-7412
DONALD D ERNST D.O.
Orthopaedic Surgery
940 RIVER CENTRE DR
PORT HURON, MI 48060
St. Clair County (810) 985-4900
ORTHOPEDIC ASSOCIATES OF PORT HURON PC
Orthopaedic Surgery
940 RIVER CENTRE DR
PORT HURON, MI 48060
St. Clair County (810) 985-4900
KYROLLOS BOULES PT
Physical Therapist
940 RIVER CENTRE DR
PORT HURON, MI 48060
St. Clair County (810) 985-4900

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 Kathryn Cpak's NPI number?

The NPI number for Kathryn Cpak is 1992008759. It was assigned to this individual provider in the NPPES registry on December 15, 2010.

Where is Kathryn Cpak located?

Kathryn Cpak practices at 940 River Centre Dr, Port Huron, MI 48060. The listed phone number is (810) 985-4900.

What is Kathryn Cpak's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kathryn Cpak enrolled in Medicare?

Yes. Kathryn Cpak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathryn Cpak was last updated on March 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.