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Active NPI 1629619903 Individual Practitioner Male Practitioner

Eric Randall Dejong , AGACNP

Nurse Practitioner - Gerontology • Holland, MI

✓ Accepts Medicare Assignment
Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Eric Dejong, AGACNP is a registered Nurse Practitioner - Gerontology practitioner in Holland, MI. With approximately 7 years of clinical practice since graduating from Georgetown University School Of Medicine in 2019, Eric Dejong provides healthcare services at the registered practice location at 602 MICHIGAN AVE STE 102.

Eric Dejong is affiliated with Spectrum Health Primary Care Partners and accepts Medicare assignment.

Frequently performed procedures and clinical services include 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, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

602 Michigan Ave Ste 102

Holland, MI 494234918

Telephone 6164948724
Associated Practice Facility / Clinic
🏢 West Michigan Heart Facility NPI 1417392093

Medicare Profile & Education

Medical School

Georgetown University School Of Medicine

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Gerontology in Holland, MI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -1.0 yrs vs City Avg
City Avg: 8.0 Yrs
State Avg: 7.7 Yrs
Regional Practice Density
2 Specialists

Practicing in Holland, MI (412 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
54.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Dejong (7 Years) 7 Yrs
Holland Specialty Average (8.0 Years) 8.0 Yrs

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
227 186 $226.92 $107.93
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
92 87 $30.00 $14.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
37 28 $155.00 $67.46

Medical Specialties & State Licenses

CMS Verified: 2022-10-14
Nurse Practitioner - Gerontology Primary Specialty

NUCC Taxonomy Code: 363LG0600X

State License MI 4704295254

Definition to come...

Hospital & Practice Group Affiliations

Spectrum Health Primary Care Partners

4444 Kalamazoo Ave Se, Kentwood, MI 495084600

Phone: 6163915600

Spectrum Health Primary Care Partners

15100 Whittaker Way, Grand Haven, MI 494178696

Phone: 6167724644

Spectrum Health Primary Care Partners

602 Michigan Ave, Holland, MI 494234918

Phone: 6164948724

Spectrum Health Primary Care Partners

15100 Whittaker Way, Grand Haven, MI 494178696

Phone: 6169356280

Practice Associates & Co-Workers

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

8 Associated Practitioners
Dr. Marcel Letourneau , DO

Internal Medicine - Interventional Cardiology

NPI 1013355007

Doctor of Osteopathic Medicine (D.O.)

Dr. Anthony Dils , MD

Internal Medicine - Cardiovascular Disease

NPI 1023634532

Doctor of Medicine (M.D.)

Melissa Eisenhauer , PA

Physician Assistant

NPI 1295391217

Physician Assistant

Dr. Dale Leffler , DO

Internal Medicine - Cardiovascular Disease

NPI 1346463254

Doctor of Osteopathic Medicine (D.O.)

Annika Bajema

Nurse Practitioner - Family

NPI 1548124704
Dr. Keith Frank , DO

Internal Medicine - Cardiovascular Disease

NPI 1609217165

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location October 14, 2022

Registered at 602 MICHIGAN AVE STE 102, HOLLAND, MI 494234918 (Tel: 6164948724)

📍
Updated Business Mailing Address October 14, 2022

Registered at 100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 495032560

👤
Provider Name / Credentials Updated October 14, 2022

Recorded as ERIC DEJONG, AGACNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2022

Nurse Practitioner (License #4704295254 in MI)

NPI Profile Active October 08, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location October 08, 2019

Registered at 1521 GULL RD, KALAMAZOO, MI 490481640 (Tel: 2692267000)

📍
Updated Business Mailing Address October 08, 2019

Registered at 4438 96TH AVE, ZEELAND, MI 494649727 (Tel: 6165203624)

👤
Provider Name / Credentials Updated October 08, 2019

Recorded as ERIC DEJONG

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2019

Nurse Practitioner (License #4704295254NSA190TJ in MI)

🟢
Initial NPI Registration & Enumeration October 08, 2019

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: 1629619903
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 08, 2019
Last Update: October 14, 2022
Sole Proprietor: No

Mailing Address

100 Michigan St Ne # Mc845

Grand Rapids, MI 495032560

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.