NPIMap

Individual provider Active NPI

Elizabeth Margery Pelletier, PAC

  • Physician Assistant
  • Lansing, MI
National Provider Identifier
1114021482
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601006896 Issued in MI
Practice address
1140 E Michigan Ave Ste 300
Lansing, MI 48912-1806
Phone
(517) 364-5655
Fax
(517) 364-5654
NPI assigned
Sep 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601006896 MI Primary
Medical Physician Assistant 363AM0700X PA04209 TX

Addresses

Primary practice location

1140 E Michigan Ave Ste 300
Lansing, MI 48912-1806

Mailing address

6321 S Chandler Rd
Saint Johns, MI 48879-9170
Phone (517) 896-2946

Other names 1

  • Elizabeth M Benson Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141202002602 MI Practitioner - Physician Assistant 7719941269 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sparrow Ionia HospitalGroup PAC ID 0042118887, 42 clinicians

Practice addresses (Care Compare)

1140 E Michigan Ave
Suite 300
Lansing, MI 48912-1806
Phone (517) 364-5655

1200 E Michigan Ave
Lansing, MI 48912-1800
Phone (517) 364-5655

3565 S State Rd
Ionia, MI 48846-9416
Phone (616) 523-1600

550 E Washington St
Ionia, MI 48846-2202

550 E Washington St FL
1 Sparrow Medical Group Gastroenterology Io
Ionia, MI 48846-2202
Phone (517) 253-6320

901 S Oakland St
Saint Johns, MI 48879-2255

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601006896MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W Sparrow Hospital Association CurrentSince Jun 1, 2021 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Jun 1, 2021 Accepting new patients
Sparrow Carson Hospital CurrentSince Nov 3, 2024 Accepting new patients
Sparrow Ionia Hospital CurrentSince Dec 1, 2024 Accepting new patients
Sparrow Carson Hospital Past Accepting new patients
Edward W. Sparrow Hospital Association Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131

1575 Ramblewood Dr
Ste 100
East Lansing, MI 48823
Phone (517) 364-3659

550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600

1200 E Michigan Ave
Ste 640
Lansing, MI 48912
Phone (517) 364-5682

1140 E Michigan Ave
Ste 100
Lansing, MI 48912
Phone (517) 364-9402

1200 E Michigan Ave
Ste 655
Lansing, MI 48912
Phone (517) 267-2460

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

1140 E Michigan Ave
Ste 300
Lansing, MI 48912
Phone (517) 364-5200

901 S Oakland St
Ste 102
Saint Johns, MI 48879
Phone (989) 227-3435

Interoperability endpoints

  • Direct secure messaging: elizabethpelletier@cua.allscriptsdirect.net

Organizations & group practices 8

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

Hospital & facility affiliations 8

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": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1114021482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6321 S CHANDLER RD",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488799170",
            "telephone_number": "517-896-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 E MICHIGAN AVE STE 300",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121806",
            "telephone_number": "517-364-5655",
            "fax_number": "517-364-5654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLETIER",
        "first_name": "ELIZABETH",
        "middle_name": "MARGERY",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-08",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006896",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA04209",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "BENSON",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.