NPIMap

Individual provider Active NPI

Amelia Louise Evenhouse, P.A.

  • Physician Assistant
  • Kalamazoo, MI
National Provider Identifier
1902387962
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601008773 Issued in MI
Practice address
5623 Gull Rd Ste 500
Kalamazoo, MI 49048-1098
Phone
(269) 775-8031
NPI assigned
Aug 27, 2018
Last updated
Jun 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 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 5601008773 MI Primary

Addresses

Primary practice location

5623 Gull Rd Ste 500
Kalamazoo, MI 49048-1098

Mailing address

601 John St
Kalamazoo, MI 49007-5232

Other identifiers 1

IdentifierTypeStateIssuer
1902387962MedicaidMI

Other names 1

  • Amelia Louise Verduzco Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct Bronson Healthcare Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180927000220 MI Practitioner - Physician Assistant 9133470396 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bronson Methodist HospitalGroup PAC ID 0244148633, shared by 3 NPIs, 721 clinicians
Three Rivers Health System IncGroup PAC ID 8729245584, 42 clinicians

Practice addresses (Care Compare)

5623 Gull Rd
Suite 500
Kalamazoo, MI 49048-1097
Phone (269) 775-8031

601 E Chicago Rd
White Pigeon, MI 49099-9731
Phone (269) 483-7624

601 John St
Suite 020
Kalamazoo, MI 49007-5381
Phone (269) 341-8282

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.43 of 100Reported as group
Quality
75.38
Promoting interoperability
100
Improvement activities
40
Cost
79.38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601008773MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Beacon Kalamazoo Inc CurrentSince Feb 1, 2022 Accepting new patients
Beacon Kalamazoo Inc CurrentSince Feb 1, 2022 Accepting new patients
Three Rivers Health System Inc CurrentSince May 12, 2025 Accepting new patients
Three Rivers Health Past Accepting new patients
Dayone City Care Medical Past Accepting new patients

Locations

3245 Health Dr
Ste 100
Granger, IN 46530
Phone (269) 552-2823

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

955 S Bailey Ave
Ste 200
South Haven, MI 49090
Phone (269) 639-2720

711 S Health Parkway
Ste 1
Three Rivers, MI 49093
Phone (269) 273-6400

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ei-dayone

Organizations & group practices 11

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 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": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1902387962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 JOHN ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5623 GULL RD STE 500",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481098",
            "telephone_number": "269-775-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVENHOUSE",
        "first_name": "AMELIA",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601008773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902387962",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "affiliationName": "Bronson Healthcare Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMELIA",
            "last_name": "VERDUZCO",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.