MRS. AUTUMN ELIZABETH DITTENBER (PA-C) – Physician Assistant, NPI 1013461581
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
Provider Addresses for MRS. AUTUMN ELIZABETH DITTENBER (PA-C)
PO BOX 320008
FLINT, MI 485320001
Phone: (989) 495-2050
Fax: (989) 495-2095
Type: Mailing
UCSB STUDENT HEALTH
University of California Santa Barbara
Santa Barbara, CA 931019310
Phone: (989) 573-2932
Type: Location
893 E Superior St
Wayland, MI 493489178
Phone: (616) 252-3400
Fax: (269) 792-6268
Type: Location
3801 Sacramento St Ste 300
San Francisco, CA 941181625
Phone: (415) 600-6204
Fax: (415) 600-2795
Type: Location
6901 Orchard Lake Rd
West Bloomfield, MI 483223416
Phone: (248) 671-3074
Fax: (248) 671-3238
Type: Location
111 E WACKERLY ST STE D
MIDLAND, MI 486427043
Phone: (989) 495-2050
Fax: (989) 495-2095
Type: Location
5889 BAY RD STE 106
SAGINAW, MI 486042540
Phone: (989) 301-9449
Type: Mailing
Metro Health Hospital, 5900, Byron Center Avenue Southwest, Wyoming, Kent County, Michigan, 49519, United States
MEDICAL ADMINISTRATION
WYOMING, MI 495199606
Phone: (616) 252-3243
Fax: (616) 252-0260
Type: Mailing
893, East Superior Street, Wayland, Allegan County, Michigan, 49348, United States
WAYLAND, MI 493489178
Phone: (616) 252-3400
Fax: (269) 792-6268
Type: Location
3085 Hallmark Ct Ste 1
Saginaw, MI 486036803
Phone: (989) 996-0566
Type: Location
1010 N Madison Ave
Bay City, MI 487085926
Phone: (989) 895-2200
Fax: (989) 895-2846
Type: Location
10930 ROGERS RD
FREELAND, MI 486239353
Phone: (989) 573-2932
Type: Mailing
3801 SACRAMENTO ST STE 300
SAN FRANCISCO, CA 941181625
Phone: (415) 600-6204
Fax: (415) 600-2795
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 41 Open Payments records for all available years, with a total value of $1,800.
Total Amount is formed as General ($1,800) + Research ($0) + Ownership ($0) = $1,800.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($393).
Total Amount
$1,800
General + Research + Ownership
Payments
41
Total payment records
General Amount
$1,800
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-05-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160826002259 | I | Physician Assistant | MI | TBD |
| I20220520000212 | I | Physician Assistant | NC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48532)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| Clinical Social Worker | MI | |
| - | MI | |
| Physician Assistant | MI | |
| Clinical Social Worker | MI | |
| Clinical Social Worker | MO | |
| Physician Assistant | MI | |
| Clinical Social Worker | NY | |
| Clinical Social Worker | MI | |
| Clinical Social Worker | FL |
Reviews
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