SUSANNE PETTIGREW (PA-C) – Medical Physician Assistant, NPI 1780686550

SUSANNE PETTIGREW (PA-C) is a healthcare provider. based in Wyoming, Michigan. specializing in Medical Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 5601001592 (MI). The NPI Number for SUSANNE PETTIGREW (PA-C) is 1780686550

Main info

Female
42 Years Of Experience
Accepts Medicare Assignment
Name
SUSANNE PETTIGREW (PA-C)
NPI
1780686550
Phone
(616) 252-4655
Address
985 GEZON PKWY SW
Enumeration Date
11 August 2005
Last Update Date
30 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6164866314
Graduation Year
1984 (42 years ago)
PAC ID
3476649542
Group Practice PAC ID
4587568647
Professional Enrollment ID
I20071019000655
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for SUSANNE PETTIGREW (PA-C)

  • 985, Gezon Parkway Southwest, Wyoming, Kent County, Michigan, 49509, United States

    WYOMING, MI 495099563

    Phone: (616) 252-4655

    Fax: (616) 252-0103

    Type: Mailing

  • 4400, Michigan Street Northeast, Grand Rapids Charter Township, Kent County, Michigan, 49301, United States

    GRAND RAPIDS, MI 495032564

    Phone: (616) 486-6333

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 36 Open Payments records for all available years, with a total value of $778.

Total Amount is formed as General ($778) + Research ($0) + Ownership ($0) = $778.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Lilly USA, LLC ($336).

Total Amount

$778

General + Research + Ownership

Payments

36

Total payment records

General Amount

$778

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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 49509)

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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: 4587568647View full group profile
NameSpecialtyState
Critical Care (Intensivists)IL
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
-MI
Vascular SurgeryIL
-MI
-MI
A N E S T H E S I O L O G YTX
Clinical Social WorkerMI

Reviews

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Frequently asked questions

Can I verify SUSANNE PETTIGREW (PA-C) with an NPI only?
You can start verification with NPI 1780686550 for SUSANNE PETTIGREW (PA-C), then check state licensing separately.
Is SUSANNE PETTIGREW (PA-C) listed as active for patients and plans?
The listing shows SUSANNE PETTIGREW (PA-C) as active in the NPI system.
What healthcare role does SUSANNE PETTIGREW (PA-C) hold?
Scheduling teams often label SUSANNE PETTIGREW (PA-C) under Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does SUSANNE PETTIGREW (PA-C) serve?
SUSANNE PETTIGREW (PA-C)'s listing highlights Wyoming, Michigan; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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