CARISSA MICHELLE SPAIN (PA-C) – Physician Assistant, NPI 1053656116
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,649 PHYSICIAN ASSISTANT in IA
Provider Addresses for CARISSA MICHELLE SPAIN (PA-C)
2000 GREEN RD
SUITE 300
ANN ARBOR, MI 481051598
Phone: (734) 686-6359
Fax: (734) 686-6359
Type: Mailing
1410 N 4TH ST
CLINTON, IA 527322940
Phone: (563) 244-5555
Type: Location
200 HAWKINS DR
IOWA CITY, IA 522421009
Phone: (563) 344-2240
Fax: (563) 344-2244
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 62 Open Payments records for all available years, with a total value of $922.
Total Amount is formed as General ($922) + Research ($0) + Ownership ($0) = $922.
Last reported payment date: 2024-08-13 • Largest payer in this snapshot: PFIZER INC. ($259).
Total Amount
$922
General + Research + Ownership
Payments
62
Total payment records
General Amount
$922
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $259 |
| Novo Nordisk Inc | $127 |
| Astellas Pharma US Inc | $102 |
| Novartis Pharmaceuticals Corporation | $57 |
| AstraZeneca Pharmaceuticals LP | $44 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-03-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130306000448 | I | Physician Assistant | IA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | 1,141 | 15 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 215 | 108 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 189 | 77 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 139 | 78 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 133 | 78 | $0 |
Insurance plans in this area (ZIP 48105)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IA | |
| - | IA | |
| - | IA | |
| - | CA | |
| O P H T H A L M O L O G Y | IA | |
| - | IA | |
| - | IA | |
| - | IA | |
| - | CA | |
| - | IA |
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