ELIZABETH THERESE COFFMAN (PA-C) – Medical Physician Assistant, NPI 1083125017
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,223 PHYSICIAN ASSISTANT in NV
Provider Addresses for ELIZABETH THERESE COFFMAN (PA-C)
202 ASTOR KNOLLS DR
ORTONVILLE, MI 48462
Phone: (989) 573-0936
Type: Mailing
12 EAGLE CHASE CT
HENDERSON, NV 890526470
Phone: (989) 573-0936
Type: Mailing
Clarkston Road, Riverside, Stamperland, Netherlee, East Renfrewshire, Scotland, G44 3RZ, United Kingdom
CLARKSTON, MI 483485215
Phone: (248) 595-9969
Type: Location
43700 WOODWARD AVE
STE 301
BLOOMFIELD, MI 48302
Phone: (248) 335-4010
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 31 Open Payments records for all available years, with a total value of $576.
Total Amount is formed as General ($576) + Research ($0) + Ownership ($0) = $576.
Last reported payment date: 2024-10-25 • Largest payer in this snapshot: ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.) ($136).
Total Amount
$576
General + Research + Ownership
Payments
31
Total payment records
General Amount
$576
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-25
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: 2023-09-08
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 |
|---|---|---|---|---|
| I20230908002757 | I | Physician Assistant | NV | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 36 | 11 | $0 |
Insurance plans in this area (ZIP 48462)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NV | |
| P S Y C H I A T R Y | NV | |
| Nurse Practitioner | NV |
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