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Active NPI 1639273311 Individual Practitioner Female Practitioner

Diane Grove , PA

Physician Assistant • Harrison, MI

Professional Overview & Biography Verified Profile Summary

Diane Grove, PA is a registered healthcare professional specializing in Physician Assistant in Harrison, MI. Practice services are available at 815 N CLARE AVE under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, telephone medical discussion with physician. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

815 N Clare Ave

Harrison, MI 486259194

Telephone 9895394434
Fax 9895394480
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Harrison, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.0 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
5 Specialists

Practicing in Harrison, MI (7057 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
53.0% 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 (2020)
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
398 206 $114.26 $66.74
99213 Established patient office or other outpatient visit, typically 15 minutes
171 120 $77.30 $43.44
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
33 33 $222.67 $96.38
99442 Telephone medical discussion with physician, 11-20 minutes
33 30 $66.94 $42.43
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
31 31 $325.42 $142.84
G2012 Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic
20 20 $24.40 $11.07
99496 Transitional care management services for problem of high complexity
16 15 $320.91 $138.28

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI DG004869

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID State License
DG004869 (MI)

Practice Associates & Co-Workers

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

6 Associated Practitioners
Mariah Moore

Nurse Practitioner - Family

NPI 1003539388
Dr. Rani Hanna , MD

Internal Medicine

NPI 1205104247

Doctor of Medicine (M.D.)

NPI 1326572652

Doctor of Osteopathic Medicine (D.O.)

Richard Kindermann , LMSW

Social Worker - Clinical

NPI 1740370774

Licensed Master Social Worker

Kathryn Tasson , PA-C

Physician Assistant

NPI 1760141493

Physician Assistant (Certified)

Jamie Walderzak

Physician Assistant

NPI 1881178465

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 26, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location February 26, 2009

Registered at 815 N CLARE AVE, HARRISON, MI 486259194 (Tel: 9895394434)

📍
Updated Business Mailing Address February 26, 2009

Registered at 815 N CLARE AVE, HARRISON, MI 486259194 (Tel: 9895394434)

👤
Provider Name / Credentials Updated February 26, 2009

Recorded as DIANE GROVE, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 26, 2009

Physician Assistant (License #DG004869 in MI)

🟢
Initial NPI Registration & Enumeration September 12, 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: 1639273311
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 12, 2006
Last Update: February 26, 2009
Sole Proprietor: No

Mailing Address

815 N Clare Ave

Harrison, MI 486259194

Phone: 9895394434

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.