MRS. ERIN ELIZABETH VAN TIEM (PA-C) – Physician Assistant, NPI 1255565685
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
6,066 PHYSICIAN ASSISTANT in MI
Provider Addresses for MRS. ERIN ELIZABETH VAN TIEM (PA-C)
706 W HURON ST STE 201
ANN ARBOR, MI 48103
Phone: (734) 996-8757
Fax: (734) 996-8767
Type: Location
25500 Meadowbrook Rd Ste 180
Novi, MI 483751882
Phone: (248) 940-1927
Fax: (248) 940-1928
Type: Location
305 E Eisenhower Pkwy Ste 320
Ann Arbor, MI 481083348
Phone: (734) 800-2055
Fax: (734) 800-2056
Type: Location
801, York Street, Manitowoc, Manitowoc County, Wisconsin, 54220, United States
MANITOWOC, WI 542204630
Phone: (920) 663-9008
Fax: (920) 684-1439
Type: Mailing
990 W ANN ARBOR TRL STE 205
PLYMOUTH, MI 481701686
Phone: (734) 455-6881
Fax: (734) 455-6891
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 165 Open Payments records for all available years, with a total value of $3,445.
Total Amount is formed as General ($3,445) + Research ($0) + Ownership ($0) = $3,445.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Janssen Biotech, Inc. ($591).
Total Amount
$3,445
General + Research + Ownership
Payments
165
Total payment records
General Amount
$3,445
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Janssen Biotech, Inc. | $591 |
| GENZYME CORPORATION | $373 |
| E.R. Squibb & Sons, L.L.C. | $334 |
| ABBVIE INC. | $326 |
| Regeneron Healthcare Solutions, Inc. | $190 |
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: 2012-07-31
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 |
|---|---|---|---|---|
| I20120731000661 | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 449 | 65 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 235 | 178 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 199 | 117 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 145 | 98 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 104 | 70 | $0 |
Insurance plans in this area (ZIP 48103)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Physician Assistant | VA | |
| - | VA | |
| D E R M A T O L O G Y | TX | |
| - | WI | |
| D E R M A T O L O G Y | AL | |
| D E R M A T O L O G Y | WI | |
| - | WI | |
| Physician Assistant | NY | |
| D E R M A T O L O G Y | WA |
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