Individual provider Active NPI

Elizabeth Susan Cabrera, PA-C

  • Physician Assistant
  • Grand Rapids, MI
National Provider Identifier
1861706590
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601005808 Issued in MI
Practice address
1740 E Paris Ave SE
Grand Rapids, MI 49546-6204
Phone
(616) 949-5600
Fax
(616) 949-6571
NPI assigned
Aug 5, 2010
Last updated
Aug 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 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 5601005808 MI Primary

Addresses

Primary practice location

1740 E Paris Ave SE
Grand Rapids, MI 49546-6204

Mailing address

1740 E Paris Ave SE
Grand Rapids, MI 49546-6204
Phone (616) 949-5600

Other names 1

  • Elizabeth Susan Hingst Former name

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
I20110225000274 MI Practitioner - Physician Assistant 2163603069 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Wayne State University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dawm, PLCGroup PAC ID 8224032594, 18 clinicians
Michigan Ear Nose Throat and Allergy Specialists PCGroup PAC ID 4183868094, 42 clinicians

Practice addresses (Care Compare)

1740 E Paris Ave SE
Grand Rapids, MI 49546-6204
Phone 61657568941194

3100 N Wellness Dr
Holland, MI 49424-8122
Phone (616) 994-2770

516 Linn St
Allegan, MI 49010-1525
Phone (616) 994-2770

Merit-based Incentive Payment System (MIPS)

Final score
85.85 of 100Reported as group
Quality
81.22
Promoting interoperability
100
Improvement activities
40
Cost
71.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine and Pediatrics of West Michigan PastSince Jun 18, 2021 Accepting new patients
Dermatology and Mohs Surgery Institute, LTD. PastSince Aug 2, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lcabrera@myskindoctors.emadirect.md

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1861706590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 E PARIS AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466204",
            "telephone_number": "616-949-5600",
            "fax_number": "616-949-6571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 E PARIS AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466204",
            "telephone_number": "616-949-5600",
            "fax_number": "616-949-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA",
        "first_name": "ELIZABETH",
        "middle_name": "SUSAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-05",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "HINGST",
            "middle_name": "SUSAN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.