KRISTINA DIMITRIEVSKI
NPI 1144096603
Physician Assistant in Detroit, MI

Q: What is Kristina Dimitrievski's NPI number?

The NPI number for Kristina Dimitrievski is 1144096603. It was assigned to this individual provider in the NPPES registry on November 27, 2023.

Q: What is Kristina Dimitrievski's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since November 27, 2023PECOS EnrolledAccepts Medicare Assignment

259 MACK AVE STE 2500, DETROIT, MI 48201(313) 577-1716 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kristina Dimitrievski NPPES

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

KRISTINA DIMITRIEVSKI (NPI 1144096603) is an individual physician assistant in Detroit, Michigan, licensed in Michigan (5601012577) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, is affiliated with Sinai-grace Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1144096603

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKRISTINA DIMITRIEVSKI

Location Address259 MACK AVE STE 2500Detroit, MI 48201-2427

Mailing Address259 Mack Ave Ste 2500Detroit, MI 48201-2427 · (313) 577-1716

Phone(313) 577-1716

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateNovember 27, 2023

Last NPPES UpdateDecember 18, 2024

NPPES CertifiedDecember 18, 2024

✔ NPI 1144096603 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MI · 5601012577

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

259 MACK AVE STE 2500, Detroit, MI 48201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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

Kristina Dimitrievski 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 ID6800324831

PECOS Enrollment IDI20250103002503

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.

Hospital Affiliations CMS Care Compare

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

Sinai-Grace Hospital

Acute Care Hospitals · Detroit, MI

1/5 CMS rating

OwnershipProprietary

CMS Certification Number230024

Location6071 W Outer DriveDetroit, MI 48235 · Wayne County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

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

JESSICA HOGAN

Physician Assistant