Olivia Hock Crofoot
Individual provider Active NPI Medical Physician Assistant · Dowagiac, MI
NPI 1497544274 · NPPES record last updated Oct 27, 2025
Key facts
- NPI
- 1497544274
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 5601013081 (MI)
- Practice address
- 420 W High St
Dowagiac, MI 49047-1943 - Phone
- (269) 783-3052
- NPI assigned
- May 6, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 5
Medicare Care Compare profile
- 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 Hospital
Practice addresses (Care Compare)
520 Main St
Dowagiac, MI 49047-1762
Hospital & facility affiliations
- Ascension Borgess Lee Hospital
- Borgess Medical Center
- Memorial Hospital of South Bend
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250805004035 | MI | Practitioner - Physician Assistant | 1456869890 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601013081 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Borgess Lee Hospital | Current |
Accepting new patients | |
| Ascension Borgess Lee Hospital | Past | Accepting new patients |
Locations
3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129
420 W High St
Dowagiac, MI 49047
Phone (269) 782-8681
520 Main St
Ste A
Dowagiac, MI 49047
Phone (269) 783-3052
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5601013081 | MI | |
| Medical Physician Assistant | 363AM0700X | 5601013081 | MI | Yes |
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
Other providers in Dowagiac, MI
- Delphine Colar
- Comfort Living Home L.L.C. #3
- Community Care of Dowagiac, PLLC
- Heather Cook-Sinden
- Matthew Vincent Cripe
- Susan Diane Curtis
- D&a Dissolving, Inc.
- Timberly Sue Daoust
- Michael R Dewitt
- Srinivasan Dhatreechara N
All providers in Dowagiac, MI · Medical Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.