Carissa Mae Thelen, OTRL
NPI 1689258139ActiveIndividual· Occupational Therapist· Traverse City, MI
Occupational Therapist (OTRL) with Hand Surgery of Northern Michigan PLC, practicing in Traverse City, Michigan. Medicare paid $12,042 for services to 35 patients in 2024.
Overview
| NPI | 1689258139 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OTRL |
| Sole proprietor | No |
| NPI issued | May 11, 2021 |
| Last updated in NPPES | Aug 29, 2024 |
| Certified by provider | Aug 28, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 5201013761 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 35 |
|---|---|
| Services billed | 548 across 10 procedure codes |
| Paid by Medicare | $12,042 |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Hand Surgery of Northern Michigan PLCTraverse City, MI · 10 clinicians
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