JAMES DERNOCOEUR PA
NPI 1083609374
Physician Assistant - Medical in Grand Rapids, MI
About James Dernocoeur Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMES DERNOCOEUR PA (NPI 1083609374) is an individual medical provider in Grand Rapids, Michigan, licensed in Michigan (5601002553) and active in the NPI registry since September 2005.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 5
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
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 James Dernocoeur's NPI number?
The NPI number for James Dernocoeur is 1083609374. It was assigned to this individual provider in the NPPES registry on September 13, 2005.
Where is James Dernocoeur located?
James Dernocoeur practices at 200 Jefferson Ave SE, Grand Rapids, MI 49503. The listed phone number is (800) 968-6866.
What is James Dernocoeur's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
When was this NPI record last updated?
The NPPES record for James Dernocoeur was last updated on August 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.
# James Dernocoeur, PA · NPI 1083609374
Medical physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since September 13, 2005.
## Identity
- **NPI:** 1083609374 (Entity type: Individual)
- **Enumerated:** September 13, 2005
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 5601002553 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 200 JEFFERSON AVE SE, Grand Rapids, MI 49503-4502
- **Phone:** (800) 968-6866
## Record status
- **NPPES last updated:** August 11, 2011
- **Other identifiers:** Medicare OSCAR/certification 0P38340023; Medicare OSCAR/certification D16091091 (MI); Medicare OSCAR/certification 075100129 (WI); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1083609374) · Data from the CMS NPPES public registry.