Individual provider Active NPI

Aleah Charity Wysozan, PA-C

  • Medical Physician Assistant
  • Muskegon, MI
National Provider Identifier
1750897245
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
1500 E Sherman Blvd
Suite 2400
Muskegon, MI 49444-1849
Phone
(231) 672-4243
Fax
(231) 727-4214
NPI assigned
Dec 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MI Primary

Addresses

Primary practice location

1500 E Sherman Blvd
Suite 2400
Muskegon, MI 49444-1849

Mailing address

5227 Airline Rd
Muskegon, MI 49444-9727

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
I20180124003169 MI Practitioner - Physician Assistant 1254690050 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Partners - Physician SpecialistGroup PAC ID 2163572991, 66 clinicians

Practice addresses (Care Compare)

1150 E Sherman Blvd
Suite 2400
Muskegon, MI 49444-1886
Phone (231) 672-4243

1500 E Sherman Blvd
Muskegon, MI 49444-1849
Phone (231) 672-3027

Hospital & facility affiliations

  • Trinity Health Muskegon Hospital Hospital, Muskegon, MI, CCN 230066
  • Mercy Health Lakeshore Campus Hospital, Shelby, MI, CCN 231320

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Partners CurrentSince Feb 19, 2018 Accepting new patients
Mercy Physician Network CurrentSince Mar 14, 2018 Accepting new patients
Advantage Health/Saint Mary'S Medical Group CurrentSince Dec 1, 2021 Accepting new patients
Advantage Health Saint Mary'S Medical Group CurrentSince Dec 1, 2021 Accepting new patients
West Shore Cardiology, PLC Past Accepting new patients

Locations

10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850

2006 Holton Rd
North Muskegon, MI 49445
Phone (231) 672-3333

71 Bevier St
Shelby, MI 49455
Phone (231) 861-2172

Interoperability endpoints

  • Direct secure messaging: awysozan44472@direct.trinity-health.org

Organizations & group practices 12

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 2

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": "1513641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1750897245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5227 AIRLINE RD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494449727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E SHERMAN BLVD",
            "address_2": "SUITE 2400",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441849",
            "telephone_number": "231-672-4243",
            "fax_number": "231-727-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYSOZAN",
        "first_name": "ALEAH",
        "middle_name": "CHARITY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-19",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.