Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Colette Marie Icasiano Clayton, MS, PA-C

Individual provider Physician Assistant · NPI 1639688393

MS. Colette Marie Icasiano Clayton, MS, PA-C is a Physician Assistant in Clinton Township, Michigan. Qualified in 2017, 9 years ago. Practices with First Choice Urgent Care PC, a 47-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2017
What do these letters mean?
MS — Master of Science
A graduate science degree.
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

39621 Garfield Rd
Clinton Township, MI 48038-4302
Phone: (586) 226-5555
Fax: (586) 226-4441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 215 E Auburn Rd, Rochester Hills, MI 48307-5260 — (248) 853-2009

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601008354 (MI)

Record details

NPI number1639688393
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , PA-C
Sole proprietorYes
NPI enumeratedSeptember 26, 2017
Last updated in NPPESSeptember 1, 2022
Certification dateSeptember 1, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice First Choice Urgent Care Pc — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Clinton Township