PEARL DYKSTRA DO
NPI 1043774938
Student in an Organized Health Care Education/Training Program in Lansing, MI

Q: What is Pearl Dykstra's NPI number?

The NPI number for Pearl Dykstra is 1043774938. It was assigned to this individual provider in the NPPES registry on January 25, 2019.

Q: What is Pearl Dykstra's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Pearl Dykstra was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 25, 2019PECOS Enrolled

2900 COLLINS RD, LANSING, MI 48910(517) 975-6000 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 12, 2025, Jan 25, 2019 (2 updates tracked since 2019).

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About Pearl Dykstra Do NPPES

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

PEARL DYKSTRA DO (NPI 1043774938) is an individual student in an organized health care education/training program in Lansing, Michigan, licensed in Michigan (5151017570) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1043774938

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NamePEARL DYKSTRACredential: DO

Location Address2900 COLLINS RDLansing, MI 48910-8394

Mailing Address2900 Collins RdLansing, MI 48910-8394 · (517) 975-6000

Phone(517) 975-6000

Sole ProprietorNo

Enumeration DateJanuary 25, 2019

Last NPPES UpdateJune 12, 20252 updates tracked since enumeration

NPPES CertifiedJune 12, 2025

✔ NPI 1043774938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in MI · 5151017570

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedTechnician · Personal Care AttendantTaxonomy 3747P1801X

2900 COLLINS RD, Lansing, MI 48910

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Secondary Practice Location 1

Location 11490 E Beltline Ave SEGrand Rapids, MI 49506-4336 · Phone (907) 301-3505

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pearl Dykstra Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

ANNA SALL DO

Student in an Organized Health Care Education/Training Program