Lindsey Aileen Renkiewicz

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

10060 Boulder Pass
Davisburg, MI 48350-2054

Phone

(248) 881-4793

NPI assigned

Feb 3, 2023

Last updated

May 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lisa a Manz Dulac MD and Associates PCGroup PAC ID 4880666429, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.34 of 100Reported as group

Quality

90.86

Improvement activities

40

Cost

100

Medicare enrollment (NPD)

Enrolled

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.

• Lisa a Manz Dulac MD & Associates PC

  dba Eastside Dermatology PC

  • Specialist
  • Grosse Pointe Woods, MI
  • NPI 1326007956
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1588360242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10060 BOULDER PASS",
            "city": "DAVISBURG",
            "state": "MI",
            "postal_code": "483502054",
            "telephone_number": "248-881-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10060 BOULDER PASS",
            "city": "DAVISBURG",
            "state": "MI",
            "postal_code": "483502054",
            "telephone_number": "248-881-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENKIEWICZ",
        "first_name": "LINDSEY",
        "middle_name": "AILEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pine Knob Pharmacy 5 Inc (Pine Knob Savmor Pharmacy 5)
• Brant Scott Pittsley, D.D.S.
• Marina Vicini Pokriefka, CNS
• Alyssa Ponkey
• Progressive Lifestyle Inc
• Susan Rohde, MSW
• Nicole Rye, DO
• Cathy Lynn Sabo, LMSW
• Senior Service Liaison, LLC (SSL)
• Robin Tiffany Sharabani, LMSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.

Verify at the official NPI Registry.