Elizabeth Dekryger, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

5601011600 Issued in MI

Practice address

2333 Progress St
West Branch, MI 48661-9384

Phone

(989) 701-2538

Fax

(989) 701-2540

NPI assigned

Feb 10, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth Kay Edson Former name

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

Central Michigan College of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jagannathan Neurosurgical Institute PLLCGroup PAC ID 9638317373, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLaren Central Michigan Hospital, Mount Pleasant, MI, CCN 230080
• McLaren Bay Region Hospital, Bay City, MI, CCN 230041

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Jagannathan Neurosurgical Institute PLLC

  • Neurological Surgery Physician
  • Troy, MI
  • NPI 1356680912

  MI

  Medicare reassignment Care Compare group NPD
• Jagannathan Neurosurgical Institute PLLC

  • Neurological Surgery Physician
  • Mount Pleasant, MI
  • NPI 1093521080
  Care Compare group NPD
• Jagannathan Neurosurgical Institute PLLC

  • Neurological Surgery Physician
  • Bay City, MI
  • NPI 1154969004
  Care Compare group
• Jagannathan Neurosurgical Institute PLLC

  • Neurological Surgery Physician
  • West Branch, MI
  • NPI 1326412628
  Care Compare group
• Jagannathan Neurosurgical Institute PLLC

  • Neurological Surgery Physician
  • Sault Sainte Marie, MI
  • NPI 1447615026
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• McLaren Bay Region

  • General Acute Care Hospital
  • Bay City, MI
  • NPI 1528031226

  Hospital

  Care Compare affiliation
• McLaren Central Michigan

  • Rural Acute Care Hospital
  • Mt Pleasant, MI
  • NPI 1619941317

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1750913596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 E CAMPUS DR",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488592033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 PROGRESS ST",
            "city": "WEST BRANCH",
            "state": "MI",
            "postal_code": "486619384",
            "telephone_number": "989-701-2538",
            "fax_number": "989-701-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEKRYGER",
        "first_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-10",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MI",
            "license": "5601011600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "EDSON",
            "middle_name": "KAY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• April Christin David, LPC
• Crystal Noel Davis, MA, LPC, IMH-E II
• Stephen Dawson, BA PSYCHOLOGY
• Guy Dean, R. PH.
• Sarah Degeorge
• Diagnostic Imaging of West Branch PC
• Dialysis and Nephrology Consultants PC
• District Health Department No 2
• District Health Department No. 2
• District Health Department No. 2

• All providers in West Branch, MI
• Surgical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.