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ALISSA MARIE EBENHOEH
NPI 1104567643
Student in an Organized Health Care Education/Training Program in Grand Rapids, MI

Active since April 06, 2022PECOS Enrolled
15 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 233-1678 Get Directions Write a Review

NPPES record last updated: April 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alissa Marie Ebenhoeh NPPES

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

ALISSA MARIE EBENHOEH (NPI 1104567643) is an individual student in an organized health care education/training program in Grand Rapids, Michigan and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104567643
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameALISSA MARIE EBENHOEH
Location Address15 MICHIGAN ST NEGrand Rapids, MI 49503-2508
Mailing Address15 Michigan St NeGrand Rapids, MI 49503-2508
Phone(616) 233-1678
Sole ProprietorNo
Enumeration DateApril 6, 2022
NPPES CertifiedMarch 23, 2022
✔ NPI 1104567643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
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.
15 MICHIGAN ST NE, Grand Rapids, MI 49503
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alissa Marie Ebenhoeh 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.

NICHOLAS WILLIAM NICOLETTI
Student in an Organized Health Care Education/Training Program
15 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 337-0740
JEREMIAH STEVEN HUTSON
Student in an Organized Health Care Education/Training Program
15 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 233-1678
KESHAV LALCHANDANI
Student in an Organized Health Care Education/Training Program
15 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 233-1678
MERIDITH ANNESS
Student in an Organized Health Care Education/Training Program
15 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (248) 892-2414
MADISON NIGHTINGALE
Student in an Organized Health Care Education/Training Program
15 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 233-1678
JOSEPH BRISSON
Student in an Organized Health Care Education/Training Program
15 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (248) 881-4366
JOHN DAVID PESTENARIU
Student in an Organized Health Care Education/Training Program
15 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (313) 757-2496
KATHERINE A MUNSON
Student in an Organized Health Care Education/Training Program
15 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 233-1678

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 Alissa Ebenhoeh's NPI number?

The NPI number for Alissa Ebenhoeh is 1104567643. It was assigned to this individual provider in the NPPES registry on April 6, 2022.

Where is Alissa Ebenhoeh located?

Alissa Ebenhoeh practices at 15 Michigan St NE, Grand Rapids, MI 49503. The listed phone number is (616) 233-1678.

What is Alissa Ebenhoeh's specialty?

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

Is Alissa Ebenhoeh enrolled in Medicare?

Yes. Alissa Ebenhoeh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alissa Ebenhoeh was last updated on April 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.