Individual provider Active NPI

Rachel A Dugan, PA-C

  • Physician Assistant
  • Kalamazoo, MI
National Provider Identifier
1508133257
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601006879 Issued in MI
Practice address
5623 Gull Rd Ste 500
Kalamazoo, MI 49048-1098
Phone
(269) 775-8031
NPI assigned
Nov 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601006879 MI Primary

Addresses

Primary practice location

5623 Gull Rd Ste 500
Kalamazoo, MI 49048-1098

Mailing address

601 John Street
Box 39
Kalamazoo, MI 49007

Other practice location 1

5121 S Westnedge Ave
Portage, MI 49002-0404
Phone (269) 552-4212

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct Bronson Healthcare Group

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
I20140217000228 MI Practitioner - Physician Assistant 5496912438 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bronson Methodist HospitalGroup PAC ID 0244148633, shared by 3 NPIs, 721 clinicians

Practice addresses (Care Compare)

5623 Gull Rd
Kalamazoo, MI 49048-1098
Phone (269) 775-8031

601 John St
Kalamazoo, MI 49007-5377

6210 W Main St
Kalamazoo, MI 49009-8925
Phone (269) 286-7030

6220 W Main St
Kalamazoo, MI 49009-8925
Phone (269) 276-4744

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.43 of 100Reported as group
Quality
75.38
Promoting interoperability
100
Improvement activities
40
Cost
79.38

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson Methodist Hospital Physician Assistant CurrentSince Feb 27, 2014 Accepting new patients
Bronson South Haven Hospital CurrentSince Sep 1, 2022 Accepting new patients
Bronson Battle Creek Hospital Physician Assistant CurrentSince Sep 1, 2022 Accepting new patients
Bronson Methodist Hospital Physician Assistant CurrentSince Feb 27, 2014 Accepting new patients
Bronson Lakeview Hospital CurrentSince Sep 1, 2022 Accepting new patients
Bronson South Haven Hospital CurrentSince Sep 1, 2022 Accepting new patients

Locations

165 Washington Ave N
Battle Creek, MI 49037
Phone (269) 245-3676

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

6220 W Main St
Kalamazoo, MI 49009
Phone (269) 276-4744

5623 Gull Rd
Ste 500
Kalamazoo, MI 49048
Phone (269) 775-8031

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

601 John St
#39
Kalamazoo, MI 49007

451 Health Pkwy
Paw Paw, MI 49079
Phone (269) 655-1725

5121 S Westnedge Ave
Portage, MI 49002
Phone (269) 337-2110

950 S Bailey Ave
South Haven, MI 49090
Phone (269) 639-2796

Interoperability endpoints

  • Direct secure messaging: direct@direct.bronsonhg.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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1322006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1508133257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 JOHN STREET",
            "address_2": "BOX 39",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "49007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5623 GULL RD STE 500",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481098",
            "telephone_number": "269-775-8031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5121 S Westnedge Ave",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "MI",
            "postal_code": "490020404",
            "country_code": "US",
            "telephone_number": "269-552-4212",
            "fax_number": "269-552-4215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUGAN",
        "first_name": "RACHEL",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-23",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "affiliationName": "Bronson Healthcare Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.