Individual provider Active NPI

Michelle Grace Streu, PA-C

  • Physician Assistant
  • Tecumseh, MI
National Provider Identifier
1821284951
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601005084 Issued in MI
Practice address
501 E Cummins St # C
Tecumseh, MI 49286-2070
Phone
(517) 424-3070
Fax
(517) 423-2786
NPI assigned
Sep 21, 2007
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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 5601005084 MI Primary

Addresses

Primary practice location

501 E Cummins St # C
Tecumseh, MI 49286-2070

Mailing address

501 E Cummins St # C
Tecumseh, MI 49286-2070

Other identifiers 2

IdentifierTypeStateIssuer
1821284951MedicaidMI
P01012709OtherMIRR MEDICARE

Other names 1

  • Michelle Grace Jibowu Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mstreu246385@epicdirect.promedica.org

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
I20071102000753 MI Practitioner - Physician Assistant 5395832612 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

200 E Russell Rd
Unit C
Tecumseh, MI 49286-2072
Phone (517) 263-9491

6869 S Occidental Rd
Tecumseh, MI 49286-9784
Phone (517) 423-4777

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Iha Health Services Corporation CurrentSince Aug 1, 2015 Accepting new patients

Locations

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

Interoperability endpoints

  • Direct secure messaging: mstreu246385@direct.promedica.org

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1821284951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E CUMMINS ST # C",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492862070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E CUMMINS ST # C",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "492862070",
            "telephone_number": "517-424-3070",
            "fax_number": "517-423-2786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREU",
        "first_name": "MICHELLE",
        "middle_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-21",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1821284951",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01012709",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mstreu246385@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "501 E Cummins St # C",
            "city": "Tecumseh",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492862070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "JIBOWU",
            "middle_name": "GRACE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tecumseh, MI

Sources for this page

Verify at the official NPI Registry.