EMILY JOAN REEDY (PA-C) – Physician Assistant, NPI 1386496420

EMILY JOAN REEDY (PA-C) is a healthcare provider. based in Grosse ile, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 940 (WV). The NPI Number for EMILY JOAN REEDY (PA-C) is 1386496420

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
EMILY JOAN REEDY (PA-C)
NPI
1386496420
Phone
(734) 552-5485
Address
22595 W RIVER RD
Enumeration Date
2 April 2024
Last Update Date
15 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3047669136
Graduation Year
2023 (3 years ago)
PAC ID
2961842828
Group Practice PAC ID
3971536400
Professional Enrollment ID
I20250416003333
Address ID
WV253091205SO607XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,204 PHYSICIAN ASSISTANT in WV

Provider Addresses for EMILY JOAN REEDY (PA-C)

  • 22595 W RIVER RD

    GROSSE ILE, MI 481381445

    Phone: (734) 552-5485

    Type: Mailing

  • 607 CHESTNUT ST

    SOUTH CHARLESTON, WV 253091205

    Phone: (304) 766-9136

    Fax: (304) 766-9139

    Type: Location

  • 5301 McAuley Dr

    Ypsilanti, MI 481971051

    Phone: (734) 712-3456

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $62.

Total Amount is formed as General ($62) + Research ($0) + Ownership ($0) = $62.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($62).

Total Amount

$62

General + Research + Ownership

Payments

2

Total payment records

General Amount

$62

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

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: 2025-04-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20240425003774IPhysician AssistantMITBD
I20250416003333IPhysician AssistantWVTBD

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 48138)

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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: 3971536400View full group profile
NameSpecialtyState
D E R M A T O L O G YWV
Physician AssistantWV

Reviews

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Frequently asked questions

Can I use this page to confirm EMILY JOAN REEDY (PA-C)'s NPI?
Yes. EMILY JOAN REEDY (PA-C) is listed with NPI 1386496420 in the public NPI dataset.
Can I rely on EMILY JOAN REEDY (PA-C) being an active provider?
As of the registry snapshot, EMILY JOAN REEDY (PA-C) is marked active.
What is EMILY JOAN REEDY (PA-C) best known for clinically?
Directory data describes EMILY JOAN REEDY (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does EMILY JOAN REEDY (PA-C) serve?
EMILY JOAN REEDY (PA-C)'s listing highlights Grosse Ile, Michigan; more addresses can appear in NPPES.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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