Abigail Desmyter, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601010034 Issued in MI

Practice address

5656 S Cedar St
Lansing, MI 48911-3894

Phone

(517) 269-3925

Fax

(517) 267-3593

NPI assigned

Apr 10, 2020

Last updated

Aug 4, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1205455185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 S CEDAR ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489113894",
            "telephone_number": "517-267-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 S CEDAR ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489113894",
            "telephone_number": "517-269-3925",
            "fax_number": "517-267-3593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESMYTER",
        "first_name": "ABIGAIL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-10",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601010034",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Francis Dery Jr., D.O.
• Keval Desai, PHARMD
• Zalak P Desai, PT
• Garrett Descoteaux-Friday, D.O.
• Laurie Danielle Desilva
• Heather Kirsten Desroberts, OTR/L
• Sara Ann Detlor, MSPT
• David A Detrisac, MD
• Karla Dettling
• Joanne Dettro

• Physician Assistant in Lansing, MI
• Providers in Lansing, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.