ANDREA SCHRECONGOST – Physician Assistant, NPI 1124508460

ANDREA SCHRECONGOST is a healthcare provider. based in Fort gratiot, Michigan. specializing in Physician Assistant. They hold a License No. 5601008810 (MI). The NPI Number for ANDREA SCHRECONGOST is 1124508460

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
ANDREA SCHRECONGOST
NPI
1124508460
Phone
(810) 841-8909
Address
3760 STATE RD
Enumeration Date
16 August 2018
Last Update Date
31 July 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5179756000
Graduation Year
2018 (8 years ago)
PAC ID
8123379690
Group Practice PAC ID
7214833466
Professional Enrollment ID
I20180921001680
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

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Provider Addresses for ANDREA SCHRECONGOST

  • 3760, State Road, Burtchville Township, Saint Clair County, Michigan, 48059, United States

    FORT GRATIOT, MI 480594063

    Phone: (810) 841-8909

    Type: Mailing

  • South Martin Luther King Jr Boulevard, Lansing, Ingham County, Michigan, 48911, United States

    LANSING, MI 48911

    Phone: (517) 913-3888

    Fax: (517) 394-7483

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $128.

Total Amount is formed as General ($128) + Research ($0) + Ownership ($0) = $128.

Last reported payment date: 2024-07-26 • Largest payer in this snapshot: ACADIA Pharmaceuticals Inc ($128).

Total Amount

$128

General + Research + Ownership

Payments

7

Total payment records

General Amount

$128

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-09-21

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
I20180921001680IPhysician 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48059)

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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: 7214833466View full group profile
NameSpecialtyState
-MI
-MI
O B S T E T R I C S/ G Y N E C O L O G YMI
Nurse PractitionerMI
O B S T E T R I C S/ G Y N E C O L O G YMI
-MI
Cardiovascular Disease (Cardiology)MI
-MI
O B S T E T R I C S/ G Y N E C O L O G YMI
-MI

Reviews

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Frequently asked questions

How is ANDREA SCHRECONGOST identified in CMS data?
CMS-hosted NPPES data lists ANDREA SCHRECONGOST with NPI 1124508460.
Does the file indicate ANDREA SCHRECONGOST is practicing under active NPI?
Directory data currently reports ANDREA SCHRECONGOST as active.
What is ANDREA SCHRECONGOST best known for clinically?
Directory data describes ANDREA SCHRECONGOST with Physician Assistant. Clinical services aligned with this taxonomy classification.
Does ANDREA SCHRECONGOST list a practice location?
Patients near Fort Gratiot, Michigan may find ANDREA SCHRECONGOST in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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