MS. ELEANOR RACHAEL WIEDEMAN (PA-C) – Medical Physician Assistant, NPI 1053067181
Medical Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
6,066 PHYSICIAN ASSISTANT in MI
Provider Addresses for MS. ELEANOR RACHAEL WIEDEMAN (PA-C)
24255 W 13 Mile Rd Ste 100
Bingham Farms, MI 480254345
Phone: (248) 988-8085
Fax: (844) 598-9635
Type: Location
26750 Providence Pkwy Ste 220
Novi, MI 483741212
Phone: (248) 596-0412
Fax: (833) 471-5849
Type: Location
30575 Woodward Ave
Royal Oak, MI 480730980
Phone: (248) 280-8550
Fax: (844) 266-0093
Type: Location
45816 Schoenherr Rd
Shelby Twp, MI 483156028
Phone: (586) 842-2400
Fax: (833) 561-1976
Type: Location
1350 Kirts Blvd Ste 160
Troy, MI 480844852
Phone: (248) 244-9426
Fax: (844) 607-0511
Type: Location
4967 Crooks Rd Ste 100
Troy, MI 480985812
Phone: (248) 846-8060
Fax: (833) 303-1612
Type: Location
17877 W 14 Mile Rd
Beverly Hills, MI 480253127
Phone: (248) 644-3920
Fax: (844) 598-9632
Type: Location
33200 W 14 Mile Rd Ste 220
West Bloomfield, MI 483223586
Phone: (248) 855-7400
Fax: (844) 598-9634
Type: Location
330 WELLINGTON WAY
SPRINGBORO, OH 450669304
Phone: (513) 594-4534
Type: Mailing
26211 CENTRAL PARK BLVD STE 201
SOUTHFIELD, MI 480764158
Phone: (833) 667-3627
Fax: (833) 972-5509
Type: Mailing
26025 LAHSER RD FL 2
SOUTHFIELD, MI 480332606
Phone: (248) 663-1900
Fax: (844) 598-9633
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $573.
Total Amount is formed as General ($573) + Research ($0) + Ownership ($0) = $573.
Last reported payment date: 2024-11-19 • Largest payer in this snapshot: Nevro Corp. ($292).
Total Amount
$573
General + Research + Ownership
Payments
5
Total payment records
General Amount
$573
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Nevro Corp. | $292 |
| Zimmer Biomet Holdings, Inc. | $146 |
| Heron Therapeutics, Inc. | $121 |
| Ethicon US, LLC | $14 |
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: 2022-06-16
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220616002711 | I | Physician Assistant | MI | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 128 | 16 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 96 | 93 | $0 |
| 73562 | X-ray of knee, 3 views | 64 | 58 | $0 |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 57 | 54 | $0 |
| 27447 | Replacement of knee joint, both sides of knee | 55 | 52 | $0 |
Insurance plans in this area (ZIP 48025)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Occupational Therapist In Private Practice | MI | |
| - | MI | |
| Orthopedic Surgery | MI | |
| Sports Medicine, Orthopedic Surgery | MI | |
| A N E S T H E S I O L O G Y | MI | |
| Orthopedic Surgery | MI | |
| - | MI | |
| Physician Assistant | MI | |
| Physical Therapist In Private Practice | MI | |
| Physician Assistant | MI |
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