Active NPI
Christiana Angelina Dewys, PA-C
- Physician Assistant
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601008753
- Practice address
- 2854 S 11TH St
Kalamazoo, MI 49009-2129 - Phone
- (269) 345-6197
- NPI assigned
- Jul 21, 2018
- Last updated
- Oct 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601008753 | MI | Primary |
Addresses
Primary practice location
2854 S 11TH St
Kalamazoo, MI 49009-2129
Mailing address
453 Dillingham LN
Kalamazoo, MI 49009-2441
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10047 Crossroad CT SE
Caledonia, MI 49316-7316
Phone (616) 685-8850
200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Phone (616) 685-5000
220 Cherry St SE
Grand Rapids, MI 49503-4608
Phone (616) 685-5050
250 Cherry St SE
Grand Rapids, MI 49503-4608
Phone (616) 685-5600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601008753 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Health Saint Mary's Medical Group | Physician Assistant | Current | Accepting new patients |
| Bronson Methodist Hospital | Physician Assistant | Current | Accepting new patients |
| Advantage Health/Saint Mary's Medical Group | Current | Accepting new patients | |
| Michigan State University Kalamazoo Center for Medical Studies | Current | Accepting new patients | |
| Advantage Health Saint Mary's Medical Group | Past | Accepting new patients |
Locations
10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850
1000 Oakland Dr
Kalamazoo, MI 49008
Phone (269) 337-4347
2854 S 11th St
Kalamazoo, MI 49009
Phone (269) 345-6197
601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500
Interoperability endpoints
- cdewys2668753@direct.trinity-health.org
Organizations & group practices 7
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.
-
dba Trinity Health Medical Group
- Multi-Specialty Clinic/Center
- Grand Rapids, MI
- NPI 1376862151
-
dba Bronson Medical Group
- Hospitalist Physician
- Kalamazoo, MI
- NPI 1417961137
Physician Assistant
-
dba WMed Health
- Multi-Specialty Clinic/Center
- Kalamazoo, MI
- NPI 1316212343
-
dba Trinity Health Medical Group Orthopedics Grand Rapids
- Orthopaedic Surgery Physician
- Byron Center, MI
- NPI 1003515008
Physician Assistant
-
dba Saint Mary's Urgent Care Plus
- Urgent Care Clinic/Center
- Hudsonville, MI
- NPI 1538430533
-
dba Msu/KCMS
- Multi-Specialty Clinic/Center
- Kalamazoo, MI
- NPI 1568467249
-
dba Trinity Health Medical Group
- Multi-Specialty Clinic/Center
- Grand Rapids, MI
- NPI 1952340911
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Health Muskegon
- General Acute Care Hospital
- Muskegon, MI
- NPI 1831132133
-
dba Mercy Health Saint Mary's
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1639111057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1225515349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "453 DILLINGHAM LN",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490092441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2854 S 11TH ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490092129",
"telephone_number": "269-345-6197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEWYS",
"first_name": "CHRISTIANA",
"middle_name": "ANGELINA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-21",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601008753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.