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Active NPI 1235689100 Individual Practitioner Female Practitioner

Crystal G Addison , PA

Physician Assistant • Ann Arbor, MI

Professional Overview & Biography Verified Profile Summary

Crystal Addison, PA is a registered healthcare professional specializing in Physician Assistant in Ann Arbor, MI. Practice services are available at 1500 E MEDICAL CENTER DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1500 E Medical Center Drive
Level 4 University Hospital Bldg 1000312

Ann Arbor, MI 481095240

Telephone 7346479291
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Ann Arbor, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.3 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
613 Specialists

Practicing in Ann Arbor, MI (7057 Statewide)

Telehealth Adoption Rate
20.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-02-10
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI 5601008004

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Andria Hazergian , NP

Nurse Practitioner

NPI 1053662981

Nurse Practitioner

Minou Xie , NP

Nurse Practitioner

NPI 1063809366

Nurse Practitioner

Jason Learman , NP

Nurse Practitioner

NPI 1174077812

Nurse Practitioner

Lisa Koch , PA-C

Physician Assistant

NPI 1235533274

Physician Assistant (Certified)

NPI 1831353770

Doctor of Medicine (M.D.)

James Kanak , PA-C

Physician Assistant

NPI 1992981849

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2020

Physician Assistant (License #5601008004 in MI)

👤
Provider Name / Credentials Updated August 24, 2019

Recorded as CRYSTAL ADDISON, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2019

Physician Assistant

NPI Profile Active July 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 10, 2017

Registered at 1500 E MEDICAL CENTER DRIVE, LEVEL 4 UNIVERSITY HOSPITAL BLDG 1000312, ANN ARBOR, MI 481095240 (Tel: 7346479291)

📍
Updated Business Mailing Address July 10, 2017

Registered at 3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108 (Tel: (734) 936-2047)

👤
Provider Name / Credentials Updated July 10, 2017

Recorded as CRYSTAL MORENO, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2017

Physician Assistant (License #5601008004 in MI)

NPI Profile Active December 18, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 18, 2016

Registered at 309 ECORSE RD, YPSILANTI, MI 481985733 (Tel: 7344840580)

📍
Updated Business Mailing Address December 18, 2016

Registered at 2247 S MAIN ST, ANN ARBOR, MI 481035830

👤
Provider Name / Credentials Updated December 18, 2016

Recorded as CRYSTAL MORENO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2016

Physician Assistant

🟢
Initial NPI Registration & Enumeration October 04, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1235689100
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 04, 2016
Last Update: February 10, 2020
Sole Proprietor: No

Mailing Address

3621 S State St, 700 Kms Place

Ann Arbor, MI 48108

Phone: 7349362047

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.