Nadeline A Dawisha, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

110 South Blvd W Ste 100
Rochester Hills, MI 48307-5184

Phone

(248) 852-1900

Fax

(248) 852-1919

NPI assigned

Sep 1, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Nadeline Abro Former name

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

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Skin Care Physicians PCGroup PAC ID 8921105255, 12 clinicians

Novi Dermatology PLLCGroup PAC ID 8325319262, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Novi Dermatology PLLC

  • Dermatology Physician
  • Novi, MI
  • NPI 1245751007
  Medicare reassignment Care Compare group
• Skin Care Physicians PC

  • MOHS-Micrographic Surgery Physician
  • Rochester Hills, MI
  • NPI 1649300880
  Medicare reassignment Care Compare group
• Skin Care Physicians PC

  dba Beacon Skin & Surgeries - Macomb

  • Dermatology Physician
  • Macomb, MI
  • NPI 1174496814
  NPD (past)

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1972271229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SOUTH BLVD W STE 100",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075184",
            "telephone_number": "248-852-1900",
            "fax_number": "248-852-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SOUTH BLVD W STE 100",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075184",
            "telephone_number": "248-852-1900",
            "fax_number": "248-852-1919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44000 W Twelve Mile Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483772646",
            "country_code": "US",
            "telephone_number": "248-946-4787",
            "fax_number": "248-716-5956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAWISHA",
        "first_name": "NADELINE",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601013148",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NADELINE",
            "last_name": "ABRO",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David Schwartzenfeld Medical PC
• David W Blodgett MD PLLC
• Allison Davis
• Datron Davis
• Vicky J. Davis, PH.D., CAAC, CCJS
• Farah Rafik Dawood-Farah, MD
• Mary Kate Dawood
• Christoper Dawson
• Patrick Day, B.I.E.
• Ernestina S De Los Santos Mac, M.D.

• Physician Assistant in Rochester Hills, MI
• Providers in Rochester Hills, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.