Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Carolyn Marie Wiese, PA
Physician Assistant in Petoskey, MI · enumerated 2005.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1235130576
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Registry record
Entity type Individual (Type 1)
Name Carolyn Marie Wiese
Credential PA
Sex Female
Practice address 2390 Mitchell Park Dr Ste D, Petoskey, MI, 49770
Phone (231) 487-7200
Fax (231) 487-7188
Enumeration date Aug 9, 2005
Last updated in NPPES Jun 12, 2018
Taxonomy & licenses
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA001143 (ME) Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 5601003704 (MI) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program.
About the PA credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235130576 | Medicaid | MI | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
What is the NPI number for Carolyn Wiese?
The National Provider Identifier (NPI) for Carolyn Wiese is 1235130576, a Type 1 (individual) record in the CMS NPPES registry.
Where does Carolyn Wiese practice?
The practice location on file with NPPES is in Petoskey, MI. Providers can have multiple locations; NPPES lists the primary practice address.
Other providers at this practice address
Browse all → Daniel Verburg MD Plc Gynecology Physician · Petoskey, MI NPI 1255585501 Lance Edgerton Family Nurse Practitioner · Petoskey, MI NPI 1417596875 Little Traverse Bay Bands of Odawa Indians Community/Retail Pharmacy · Petoskey, MI NPI 1689387821 Little Traverse Bay Bands of Odawa Indians Federally Qualified Health Center (FQHC) · Petoskey, MI NPI 1871272583
Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-06-12.