SCOTT E ZEILSTRA (PA-C) – Physician Assistant, NPI 1174963490

SCOTT E ZEILSTRA (PA-C) is a healthcare provider. based in East lansing, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for SCOTT E ZEILSTRA (PA-C) is 1174963490

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
SCOTT E ZEILSTRA (PA-C)
NPI
1174963490
Phone
(616) 516-9025
Address
1650 RAMBLEWOOD DR
Enumeration Date
1 July 2013
Last Update Date
19 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5173321200
Graduation Year
2013 (13 years ago)
PAC ID
5193951085
Group Practice PAC ID
9739143991
Professional Enrollment ID
I20131125000718
Address ID
MI488237396EA1650XDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness75
Years active:12State licenses:0Digital endpointsOther names

6,066 PHYSICIAN ASSISTANT in MI

Provider Addresses for SCOTT E ZEILSTRA (PA-C)

  • 1650 RAMBLEWOOD DR

    STE 100

    EAST LANSING, MI 488237396

    Phone: (616) 516-9025

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 249 Open Payments records for all available years, with a total value of $4,475.

Total Amount is formed as General ($4,475) + Research ($0) + Ownership ($0) = $4,475.

Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($1,060).

Total Amount

$4,475

General + Research + Ownership

Payments

249

Total payment records

General Amount

$4,475

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-23

Latest reported date

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: 2013-11-25

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
I20131125000718IPhysician 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
99213Established patient office or other outpatient visit, 20-29 minutes140118$0
99214Established patient office or other outpatient visit, 30-39 minutes11394$0
99204New patient office or other outpatient visit, 45-59 minutes3434$0
99203New patient office or other outpatient visit, 30-44 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 48823)

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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: 9739143991View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YMI
P A T H O L O G YMI
G A S T R O E N T E R O L O G YIN
Gastroenterology, Internal MedicineMI
G A S T R O E N T E R O L O G YMI
Physician AssistantMI
Gastroenterology, Internal MedicineMI
G A S T R O E N T E R O L O G YMI
Nurse PractitionerMI
G A S T R O E N T E R O L O G YMI

Reviews

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Frequently asked questions

How is SCOTT E ZEILSTRA (PA-C) identified in CMS data?
CMS-hosted NPPES data lists SCOTT E ZEILSTRA (PA-C) with NPI 1174963490.
Does CMS list SCOTT E ZEILSTRA (PA-C) as active?
Yes — SCOTT E ZEILSTRA (PA-C) is active in the NPI listing used on this page.
What is SCOTT E ZEILSTRA (PA-C)'s primary classification?
Physician Assistant is the headline specialty for SCOTT E ZEILSTRA (PA-C) here. Clinical services aligned with this taxonomy classification.
Where should I expect SCOTT E ZEILSTRA (PA-C) on a map?
Expect East Lansing, Michigan as a primary anchor for SCOTT E ZEILSTRA (PA-C) unless the record lists multiple sites.
Is the information about SCOTT E ZEILSTRA (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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