NOAH WHITE (PA) – Physician Assistant, NPI 1962220384

NOAH WHITE (PA) is a healthcare provider. based in East lansing, Michigan. specializing in Physician Assistant. They hold the professional credentials PA. The NPI Number for NOAH WHITE (PA) is 1962220384

Main info

Male
Name
NOAH WHITE (PA)
NPI
1962220384
Phone
(517) 281-2027
Address
860 LONGFELLOW DR
Enumeration Date
3 October 2024
Last Update Date
3 October 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:1State licenses:0Digital endpointsOther names

Provider Addresses for NOAH WHITE (PA)

  • 860 LONGFELLOW DR

    EAST LANSING, MI 488232444

    Phone: (517) 281-2027

    Type: Mailing

  • 805 S OAKLAND ST

    SAINT JOHNS, MI 488792253

    Phone: (989) 227-3400

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-11-29

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
I20241129000387IPhysician 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 48823)

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Reviews

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Frequently asked questions

What federal number belongs to NOAH WHITE (PA)?
The federal identifier for NOAH WHITE (PA) is NPI 1962220384.
Is NOAH WHITE (PA)'s NPI currently valid?
The extract we use shows NOAH WHITE (PA) as active.
What kind of provider is NOAH WHITE (PA)?
The page reflects Physician Assistant for NOAH WHITE (PA). Clinical services aligned with this taxonomy classification.
Where is NOAH WHITE (PA)'s primary listing?
We display East Lansing, Michigan because that is what the record indicates for NOAH WHITE (PA).
What if East Lansing, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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