NPIMap

Individual provider Active NPI

Autumn Elizabeth Dittenber, PA-C

  • Physician Assistant
  • Fremont, MI
National Provider Identifier
1013461581
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601007826 Issued in MI
Practice address
230 W Oak St
Fremont, MI 49412-1526
Phone
(231) 924-4200
NPI assigned
Aug 12, 2016
Last updated
May 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601007826 MI Primary

Addresses

Primary practice location

230 W Oak St
Fremont, MI 49412-1526

Mailing address

100 Michigan St NE
MC 845
Grand Rapids, MI 49503-2560

Other names 1

  • Miss Autumn Elizabeth Degroat Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address adegroat143152@epic00.shdirect.org
FHIR URL https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160826002259 MI Practitioner - Physician Assistant 4486949682 Reassigns benefits to 10 organizations
I20220520000212 NC Practitioner - Physician Assistant 4486949682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bay-Arenac Behavioral HealthGroup PAC ID 5496706228, 30 clinicians
Ausable Valley Community Mental Health Services BoardGroup PAC ID 2961485610, 16 clinicians
Springfield Urgent Care PLLCGroup PAC ID 3971869942, 26 clinicians

Practice addresses (Care Compare)

1010 S Madison Ave
Bay City, MI 48708-7261
Phone (989) 895-2200

1199 W Harris Ave
Tawas City, MI 48763-9681
Phone (989) 362-8636

21929 E 9 Mile Rd
Saint Clair Shores, MI 48080-2906
Phone (248) 942-5888

42 N Mount Tom Rd
Mio, MI 48647-8739
Phone (989) 826-3208

511 Griffin Rd
West Branch, MI 48661-9251
Phone (989) 345-5571

5805 Cedar Lake Rd
Oscoda, MI 48750-9499
Phone (989) 739-1469

5889 Bay Rd
Suite 106
Saginaw, MI 48604-2540
Phone (989) 301-9449

9749 Dixie Hwy
Suite B
Clarkston, MI 48348-5406
Phone (248) 942-5888

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science, Master of Science

State licenses

LicenseStateTypeSpecialty
58848CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay-Arenac Behavioral Health CurrentSince Feb 10, 2026 Accepting new patients
Training and Treatment Innovations Inc CurrentSince Nov 13, 2023 Accepting new patients
Vidant Medical Group LLC CurrentSince Jun 2, 2022 Accepting new patients
Metropolitan Hospital CurrentSince Oct 1, 2016 Accepting new patients

Locations

201 Mulholland St
Bay City, MI 48708
Phone (989) 895-2222

929 Stevens St
Flint, MI 48502
Phone (810) 232-6081

1450 S Lapeer Rd
Oxford, MI 48371
Phone (248) 969-9932

3665 Bay Rd
Saginaw, MI 48603
Phone (989) 799-0066

13213 E 14 Mile Rd
Sterling Heights, MI 48312
Phone (586) 939-4374

1225 E Big Beaver Rd
Troy, MI 48083
Phone (248) 524-8801

893 E Superior St
Wayland, MI 49348
Phone (616) 252-3400

5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

Interoperability endpoints

  • Direct secure messaging: adegroat143152@epic00.shdirect.org
  • Direct secure messaging: adegroat564015@hisp.ehr.sutterhealth.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1013461581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE",
            "address_2": "MC 845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 W OAK ST",
            "city": "FREMONT",
            "state": "MI",
            "postal_code": "494121526",
            "telephone_number": "231-924-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITTENBER",
        "first_name": "AUTUMN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-12",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adegroat143152@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "230 W Oak St",
            "city": "Fremont",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494121526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "230 W Oak St",
            "city": "Fremont",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494121526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AUTUMN",
            "last_name": "DEGROAT",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fremont, MI

Sources for this page

Verify at the official NPI Registry.