Individual provider Active NPI

Olivia Hock Crofoot

  • Medical Physician Assistant
  • Dowagiac, MI
National Provider Identifier
1497544274
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601013081 Issued in MI
Practice address
420 W High St
Dowagiac, MI 49047-1943
Phone
(269) 783-3052
NPI assigned
May 6, 2025
Last updated
Oct 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5601013081 MI
Medical Physician Assistant 363AM0700X 5601013081 MI Primary

Addresses

Primary practice location

420 W High St
Dowagiac, MI 49047-1943

Mailing address

3245 Health Dr Ste 100
Granger, IN 46530-1380
Phone (269) 552-2830

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
I20250805004035 MI Practitioner - Physician Assistant 1456869890 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Western Michigan Un Homer Stryker School of Med, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension Borgess Lee HospitalGroup PAC ID 7719881002, 28 clinicians

Practice addresses (Care Compare)

520 Main St
Dowagiac, MI 49047-1762

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601013081MIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Dowagiac Inc CurrentSince Aug 4, 2025 Accepting new patients
Beacon Dowagiac Inc CurrentSince Aug 4, 2025 Accepting new patients
Beacon Dowagiac Inc Past Accepting new patients

Locations

3245 Health Dr
Ste 100
Granger, IN 46530
Phone (269) 552-2823

420 W High St
Dowagiac, MI 49047
Phone (269) 782-8681

520 Main St
Ste A
Dowagiac, MI 49047
Phone (269) 783-3052

Organizations & group practices 3

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 5

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": "1746489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1497544274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 HEALTH DR STE 100",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465301380",
            "telephone_number": "269-552-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W HIGH ST",
            "city": "DOWAGIAC",
            "state": "MI",
            "postal_code": "490471943",
            "telephone_number": "269-783-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROFOOT",
        "first_name": "OLIVIA",
        "middle_name": "HOCK",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5601013081",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601013081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dowagiac, MI

Sources for this page

Verify at the official NPI Registry.