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

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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: July 19, 2026.

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

Table of Contents

NPI Profile Information
Primary Taxonomy
Secondary Taxonomies
Secondary Locations
Medicare Participation & PECOS Status
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Student in an Organized Health Care Educ...
PECOS Enrolled

About PEARL DYKSTRA

This page provides the complete NPI Profile along with additional information for Pearl Dykstra, a primary care provider established in Lansing, Michigan with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1043774938 assigned on January 2019. The practitioner's primary taxonomy code is 390200000X with license number 5151017570 (MI). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI: 1043774938 Verify this NPI
Provider Name: PEARL DYKSTRA DO
Gender: Female
Entity Type: Individual
Location Address: 2900 COLLINS RD LANSING, MI 48910
Location Phone: (517) 975-6000
Mailing Address: 2900 COLLINS RD LANSING, MI 48910
Mailing Phone: (517) 975-6000
Is Sole Proprietor?: No
Enumeration Date: 01-25-2019
Last Update Date: 06-12-2025
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A primary care provider (PCP) like Pearl Dykstra sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

1490 E Beltline Ave SE
Grand Rapids, MI 49506
(907) 301-3505

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Student in an Organized Health Care Education/Training Program
Taxonomy Code: 390200000X
Type: Student, Health Care
License No.: 5151017570
License State: MI
Taxonomy Description: 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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No.	Taxonomy Code	Type	Classification / Specialization	License No. (State)
1	3747P1801X	Nursing Service Related Providers	Technician Personal Care Attendant

Medicare Participation & PECOS Enrollment Status

Pearl Dykstra is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.