Individual provider Active NPI

Hilary Beyerlein-Ujla, PA-C

  • Physician Assistant
  • Saint Joseph, MI
National Provider Identifier
1053829937
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601008525 Issued in MI
Practice address
300 E Maiden LN
Saint Joseph, MI 49085-8516
Phone
(269) 429-7546
Fax
(269) 429-0807
NPI assigned
Jan 13, 2018
Last updated
Nov 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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 5601008525 MI Primary

Addresses

Primary practice location

300 E Maiden LN
Saint Joseph, MI 49085-8516

Mailing address

300 E Maiden LN
Saint Joseph, MI 49085-8516
Phone (269) 429-7546

Other names 1

  • Hilary Beyerlein Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180223002242 MI Practitioner - Physician Assistant 3375804859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology and Skin Surgery CenterGroup PAC ID 2668467838, 29 clinicians

Practice addresses (Care Compare)

2121 Spring Arbor Rd
Jackson, MI 49203-2707
Phone (517) 787-5350

300 E Maiden LN
Saint Joseph, MI 49085-8516
Phone (269) 429-7546

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Skin Cancer & Cosmetic Dermatology Center Past Accepting new patients

Organizations & group practices 2

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 1

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": "1515801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1053829937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MAIDEN LN",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858516",
            "telephone_number": "269-429-7546",
            "fax_number": "269-429-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E MAIDEN LN",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858516",
            "telephone_number": "269-429-7546",
            "fax_number": "269-429-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEYERLEIN-UJLA",
        "first_name": "HILARY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-13",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601008525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HILARY",
            "last_name": "BEYERLEIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Joseph, MI

Sources for this page

Verify at the official NPI Registry.