GREGORY WILLIAM BEAVER (PA-C) – Physician Assistant, NPI 1043739550

GREGORY WILLIAM BEAVER (PA-C) is a healthcare provider. based in Niles, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601008356 (MI). The NPI Number for GREGORY WILLIAM BEAVER (PA-C) is 1043739550

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
GREGORY WILLIAM BEAVER (PA-C)
NPI
1043739550
Phone
Not provided
Address
2775 PORTAGE RD
Enumeration Date
15 September 2017
Last Update Date
28 September 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
26963752712301
Graduation Year
2017 (9 years ago)
PAC ID
5597030957
Group Practice PAC ID
0244148633
Professional Enrollment ID
I20171011000957
Address ID
MI490906743SO955XXAVEX405
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

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Provider Addresses for GREGORY WILLIAM BEAVER (PA-C)

  • Portage Road, Bertrand Township, Berrien County, Michigan, 49120, United States

    NILES, MI 491208706

    Phone:

    Type: Mailing

  • John Street, Kalamazoo, Kalamazoo County, Michigan, 49001, United States

    KALAMAZOO, MI 490075341

    Phone: (269) 341-8481

    Fax: (269) 341-7781

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-10-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171011000957IPhysician AssistantMITBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4444$0
99239Hospital discharge day management, more than 30 minutes4441$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3131$0
99238Hospital discharge day management, 30 minutes or less1818$0
View full utilization report →

Insurance plans in this area (ZIP 49120)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244148633View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMI
Hand Surgery, Orthopedic SurgeryMI
Physician AssistantMI
Physician AssistantMI
Cardiovascular Disease (Cardiology), Internal MedicineMI
Family PracticeMI
O B S T E T R I C S/ G Y N E C O L O G YMI
Endocrinology, Internal MedicineMI
Clinical Social WorkerMI
Internal MedicineMI

Reviews

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Frequently asked questions

Does GREGORY WILLIAM BEAVER (PA-C) have a public NPI I can cite?
Public records show GREGORY WILLIAM BEAVER (PA-C) under NPI 1043739550.
Quick check: is GREGORY WILLIAM BEAVER (PA-C) active?
Public NPPES data shows GREGORY WILLIAM BEAVER (PA-C) with an active NPI status right now.
What services align with GREGORY WILLIAM BEAVER (PA-C)'s listing?
GREGORY WILLIAM BEAVER (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to GREGORY WILLIAM BEAVER (PA-C)?
GREGORY WILLIAM BEAVER (PA-C) shows a connection to Niles, Michigan in registry-derived data.
Who maintains GREGORY WILLIAM BEAVER (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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