MS. ELEANOR RACHAEL WIEDEMAN PA-C
NPI 1053067181
Physician Assistant - Medical in Southfield, MI

Active since February 28, 2022PECOS EnrolledAccepts Medicare Assignment
26025 LAHSER RD FL 2, SOUTHFIELD, MI 48033(248) 663-1900(844) 598-9633 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 22, 2026, Feb 28, 2022 (2 updates tracked since 2022).

About Ms. Eleanor Rachael Wiedeman Pa-c NPPES

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

MS. ELEANOR RACHAEL WIEDEMAN PA-C (NPI 1053067181) is an individual medical provider in Southfield, Michigan, licensed in Michigan (5601011030TMP22) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, is affiliated with Trinity Health Oakland Hospital, and maintains 8 additional practice locations.

NPPES Registry Identity

NPI1053067181
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. ELEANOR RACHAEL WIEDEMANCredential: PA-C
Location Address26025 LAHSER RD FL 2Southfield, MI 48033-2606
Mailing Address26211 Central Park Blvd Ste 201Southfield, MI 48076-4158 · (833) 667-3627 · Fax (833) 972-5509
Fax(844) 598-9633
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 28, 2022
Last NPPES UpdateApril 22, 20262 updates tracked since enumeration
NPPES CertifiedApril 22, 2026
NPI 1053067181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MI · 5601011030TMP22
26025 LAHSER RD FL 2, Southfield, MI 48033

Other Names 1

Other Name (5)Ms. Ellie Wiedeman Pa-c

Secondary Practice Locations 8

Location 124255 W 13 Mile Rd Ste 100Bingham Farms, MI 48025-4345 · Phone (248) 988-8085 · Fax (844) 598-9635
Location 226750 Providence Pkwy Ste 220Novi, MI 48374-1212 · Phone (248) 596-0412 · Fax (833) 471-5849
Location 330575 Woodward AveRoyal Oak, MI 48073-0980 · Phone (248) 280-8550 · Fax (844) 266-0093
Location 41350 Kirts Blvd Ste 160Troy, MI 48084-4852 · Phone (248) 244-9426 · Fax (844) 607-0511
Location 54967 Crooks Rd Ste 100Troy, MI 48098-5812 · Phone (248) 846-8060 · Fax (833) 303-1612
Location 633200 W 14 Mile Rd Ste 220West Bloomfield, MI 48322-3586 · Phone (248) 855-7400 · Fax (844) 598-9634
Location 717877 W 14 Mile RdBeverly Hills, MI 48025-3127 · Phone (248) 644-3920 · Fax (844) 598-9632
Location 845816 Schoenherr RdShelby Twp, MI 48315-6028 · Phone (586) 842-2400 · Fax (833) 561-1976

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

Ms. Eleanor Rachael Wiedeman 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 ID8628457967
PECOS Enrollment IDI20220616002711
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 8

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.

Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
68 services66 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
42 services40 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services24 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
21 services19 patients
X-ray of pelvis, 1-2 views 72170
An X-ray of the pelvis, 1-2 views, is a quick and painless imaging test. It uses a small amount of radiation to produce images of the lower part of your torso. These images help to detect any abnormalities or injuries in your hip bones and surrounding structures.
19 services18 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
18 services18 patients

Hospital Affiliations CMS Care Compare 5

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

Trinity Health Oakland Hospital

Acute Care Hospitals · Pontiac, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230029
Location44405 Woodward AvePontiac, MI 48341 · Oakland County
Emergency services Birthing friendly

Straith Hospital For Special Surgery

Acute Care Hospitals · Southfield, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number230071
Location23901 LahserSouthfield, MI 48033 · Oakland County

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Corewell Health Trenton Hospital

Acute Care Hospitals · Trenton, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230176
Location5450 Fort StreetTrenton, MI 48183 · Wayne County
Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 14

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

Orthopaedic Surgery
26025 LAHSER RD FL 2
SOUTHFIELD, MI 48033
Orthopaedic Surgery
26025 LAHSER RD FL 2
SOUTHFIELD, MI 48033
Orthopaedic Surgery (Hand Surgery)
26025 LAHSER RD FL 2
SOUTHFIELD, MI 48033
Orthopaedic Surgery
26025 LAHSER RD FL 2
SOUTHFIELD, MI 48033
Pharmacist
26025 LAHSER RD FL 2
SOUTHFIELD, MI 48033
Orthopaedic Surgery
26025 LAHSER RD FL 2
SOUTHFIELD, MI 48033
Orthopaedic Surgery
26025 LAHSER RD FL 2
SOUTHFIELD, MI 48033
Orthopaedic Surgery (Hand Surgery)
26025 LAHSER RD FL 2
SOUTHFIELD, MI 48033

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 Eleanor Wiedeman's NPI number?

The NPI number for Eleanor Wiedeman is 1053067181. It was assigned to this individual provider in the NPPES registry on February 28, 2022. The provider is also known as Ms. Ellie Wiedeman Pa-C.

Where is Eleanor Wiedeman located?

Eleanor Wiedeman practices at 26025 Lahser Rd Fl 2, Southfield, MI 48033. The listed phone number is (248) 663-1900.

What is Eleanor Wiedeman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Eleanor Wiedeman enrolled in Medicare?

Yes. Eleanor Wiedeman 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 Eleanor Wiedeman accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Eleanor Wiedeman 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 Eleanor Wiedeman affiliated with any hospitals?

According to CMS data, Eleanor Wiedeman is affiliated with Trinity Health Oakland Hospital, Straith Hospital For Special Surgery, Beaumont Hospital Royal Oak, Corewell Health Trenton Hospital and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Eleanor Wiedeman was last updated on April 22, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.