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Deactivated NPI 1356406680 Deactivated / Inactive NPI Male Practitioner

Paul J Clouse , PA-C

Physician Assistant • Edmore, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Paul Clouse has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 27, 2006
NPI Deactivation Date December 25, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Paul Clouse, PA-C was a registered Physician Assistant practicing in Edmore, MI. Throughout an active medical career spanning 19 years, Paul Clouse provided care at the practice location at 223 W. MAIN ST. until profile deactivation on 2025-12-25.

Historical Medicare Part B clinical services included established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

223 W. Main St.
Po 79

Edmore, MI 48829

Telephone 9894273331
Fax 9894273037

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Edmore, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.0 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Edmore, MI (7057 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
59.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
140 80 $193.00 $79.35
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
59 44 $35.00 $13.40
99213 Established patient office or other outpatient visit, typically 15 minutes
36 33 $133.67 $53.39

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI 5601003128

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

1 Associated Practitioners
Deborah Aultman , PA-C

Physician Assistant

NPI 1831134394

Physician Assistant (Certified)

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated December 25, 2025

Record deactivated on December 25, 2025

NPI Profile Active August 06, 2007

NPI status registered as active in NPPES database

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Updated Practice Location August 06, 2007

Registered at 223 W. MAIN ST., PO 79, EDMORE, MI 48829 (Tel: 9894273331)

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Updated Business Mailing Address August 06, 2007

Registered at 8187 EVERGREEN LN, VESTABURG, MI 488919556 (Tel: 9894273331)

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Provider Name / Credentials Updated August 06, 2007

Recorded as PAUL CLOUSE, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2007

Physician Assistant (License #5601003128 in MI)

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Initial NPI Registration & Enumeration December 27, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356406680
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 27, 2006
Last Update: August 06, 2007
Deactivation Date: December 25, 2025

Mailing Address

8187 Evergreen Ln

Vestaburg, MI 488919556

Phone: 9894273331

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.