MRS. AUTUMN ELIZABETH DITTENBER PA-C
NPI 1013461581
Physician Assistant in Fremont, MI

Active since August 12, 2016PECOS EnrolledAccepts Medicare Assignment
230 W OAK ST, FREMONT, MI 49412(231) 924-4200 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 26, 2026, Mar 11, 2026, Oct 13, 2023 and 6 more (9 updates tracked since 2016).

About Mrs. Autumn Elizabeth Dittenber Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. AUTUMN ELIZABETH DITTENBER PA-C (NPI 1013461581) is an individual physician assistant in Fremont, Michigan, licensed in Michigan (5601007826) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with Mclaren Bay Region, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1013461581
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. AUTUMN ELIZABETH DITTENBERCredential: PA-C
Location Address230 W OAK STFremont, MI 49412-1526
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 12, 2016
Last NPPES UpdateMay 26, 20269 updates tracked since enumeration
NPPES CertifiedMay 26, 2026
NPI 1013461581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601007826
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
230 W OAK ST, Fremont, MI 49412

Other Names 1

Former Name (1)Miss Autumn Elizabeth Degroat

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Autumn Elizabeth Dittenber Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486949682
PECOS Enrollment IDI20160826002259
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
96 services30 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mclaren Bay Region

Acute Care Hospitals · Bay City, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230041
Location1900 Columbus AveBay City, MI 48708 · Bay County
Emergency services Birthing friendly

Tawas St Joseph Hospital

Acute Care Hospitals · Tawas City, MI
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number230100
Location200 HemlockTawas City, MI 48764 · Iosco County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49412 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
230 W OAK ST
FREMONT, MI 49412
Family Medicine
230 W OAK ST
FREMONT, MI 49412
Surgery
230 W OAK ST, SUITE 201
FREMONT, MI 49412
Nurse Practitioner (Acute Care)
230 W OAK ST
FREMONT, MI 49412
Family Medicine
230 W OAK ST, SUITE 201
FREMONT, MI 49412
Family Medicine
230 W OAK ST
FREMONT, MI 49412
Physician Assistant
230 W OAK ST
FREMONT, MI 49412
Specialist
230 W OAK ST, LOWER LEVEL
FREMONT, MI 49412

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Autumn Dittenber's NPI number?

The NPI number for Autumn Dittenber is 1013461581. It was assigned to this individual provider in the NPPES registry on August 12, 2016. The provider is also known as Miss Autumn Elizabeth Degroat.

Where is Autumn Dittenber located?

Autumn Dittenber practices at 230 W Oak St, Fremont, MI 49412. The listed phone number is (231) 924-4200.

What is Autumn Dittenber's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Autumn Dittenber enrolled in Medicare?

Yes. Autumn Dittenber is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Autumn Dittenber accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and UnitedHealthcare list Autumn Dittenber as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Autumn Dittenber affiliated with any hospitals?

According to CMS data, Autumn Dittenber is affiliated with Mclaren Bay Region and Tawas St Joseph Hospital.

When was this NPI record last updated?

The NPPES record for Autumn Dittenber was last updated on May 26, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.