Individual provider Active NPI

Megan Rose Kehrig

  • Physician Assistant
  • Wyandotte, MI
National Provider Identifier
1932854502
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601011268 Issued in MI
Practice address
1500 Eureka Rd
Wyandotte, MI 48192-6103
Phone
(734) 282-2500
NPI assigned
Feb 13, 2022
Last updated
Dec 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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 5601011268 MI Primary

Addresses

Primary practice location

1500 Eureka Rd
Wyandotte, MI 48192-6103

Mailing address

42359 Kingsley Dr
Clinton Township, MI 48038-1673
Phone (586) 495-6693

Other practice location 1

13450 E 12 Mile Rd
Warren, MI 48088-3671
Phone (586) 759-5525

Other practice location 2

16826 Newburgh Rd
Livonia, MI 48154-1600
Phone (734) 464-8400

Other practice location 3

26400 W 12 Mile Rd Ste 150
Southfield, MI 48034-1771
Phone (248) 353-0818

Other practice location 4

13717 23 Mile Rd
Shelby Twp, MI 48315-2907
Phone (586) 580-9417

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
I20231215002144 MI Practitioner - Physician Assistant 8628427697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology of Michigan PCGroup PAC ID 0941511224, 40 clinicians

Practice addresses (Care Compare)

13450 E 12 Mile Rd
Warren, MI 48088-3671
Phone (586) 759-5525

1500 Eureka Rd
Wyandotte, MI 48192-6103
Phone (734) 282-2500

Merit-based Incentive Payment System (MIPS)

Final score
84.2 of 100Reported as group
Quality
81.43
Promoting interoperability
82
Improvement activities
40
Cost
80.91

National Provider Directory

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

Organizations & group practices 1

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": "1644710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1932854502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42359 KINGSLEY DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381673",
            "telephone_number": "586-495-6693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 EUREKA RD",
            "city": "WYANDOTTE",
            "state": "MI",
            "postal_code": "481926103",
            "telephone_number": "734-282-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13450 E 12 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480883671",
            "country_code": "US",
            "telephone_number": "586-759-5525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16826 Newburgh Rd",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481541600",
            "country_code": "US",
            "telephone_number": "734-464-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26400 W 12 Mile Rd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480341771",
            "country_code": "US",
            "telephone_number": "248-353-0818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13717 23 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Shelby Twp",
            "state": "MI",
            "postal_code": "483152907",
            "country_code": "US",
            "telephone_number": "586-580-9417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEHRIG",
        "first_name": "MEGAN",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601011268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyandotte, MI

Sources for this page

Verify at the official NPI Registry.