Individual provider Active NPI

Danielle Dubois, PA-C

  • Physician Assistant
  • Ann Arbor, MI
National Provider Identifier
1932683182
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601011931 Issued in MI
Practice address
2650 Carpenter Rd
Ann Arbor, MI 48108-1108
Phone
(734) 971-1073
NPI assigned
Sep 23, 2018
Last updated
Sep 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA61087230 WA
Physician Assistant 363A00000X 5601011931 MI Primary

Addresses

Primary practice location

2650 Carpenter Rd
Ann Arbor, MI 48108-1108

Mailing address

2650 Carpenter Rd
Ann Arbor, MI 48108-1108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA, MI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190131000805 OR Practitioner - Physician Assistant 2163769068 Reassigns benefits to 1 organization
I20200930001760 WA Practitioner - Physician Assistant 2163769068 Reassigns benefits to 1 organization
I20231028000162 MI Practitioner - Physician Assistant 2163769068 Reassigns benefits to 1 organization

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
Packard Health IncGroup PAC ID 6204876113, 20 clinicians

Practice addresses (Care Compare)

200 Arnet St
Suite 150
Ypsilanti, MI 48198-5735
Phone (734) 985-7200

2650 Carpenter Rd
Ann Arbor, MI 48108-1108
Phone (734) 971-1073

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601011931MIMDPhysician Assistant
PA61087230WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Packard Health, Inc. CurrentSince Oct 2, 2023 Accepting new patients
Packard Health, Inc. CurrentSince Oct 2, 2023 Accepting new patients
Packard Health, Inc. Past Accepting new patients

Locations

2650 Carpenter Rd
Ann Arbor, MI 48108
Phone (734) 971-1073

5200 Venture Dr
Ann Arbor, MI 48108
Phone (734) 971-1073

200 Arnet St
Ste 150
Ypsilanti, MI 48198
Phone (734) 985-7200

Interoperability endpoints

  • FHIR API: https://arrprd.metrohealth.net/fhir/api/FHIR/R4

Organizations & group practices 5

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": "1537660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1932683182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 CARPENTER RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081108",
            "fax_number": "503-352-8658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 CARPENTER RD",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081108",
            "telephone_number": "734-971-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOIS",
        "first_name": "DANIELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-23",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61087230",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601011931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.