KRISTA DELONG PA-C
NPI 1144260266
Physician Assistant - Medical in Grand Haven, MI

Q: What is Krista Delong's NPI number?

The NPI number for Krista Delong is 1144260266. It was assigned to this individual provider in the NPPES registry on June 7, 2006. The provider is also known as Krista Hansen Pa-C.

Q: What is Krista Delong's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Krista Delong was last updated on March 2, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 07, 2006PECOS Enrolled

15100 WHITTAKER WAY, GRAND HAVEN, MI 49417(616) 935-6300 Get Directions Write a Review

NPPES record last updated: March 2, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 2, 2021, Mar 5, 2018 (2 updates tracked since 2018).

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About Krista Delong Pa-c NPPES

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

KRISTA DELONG PA-C (NPI 1144260266) is an individual medical provider in Grand Haven, Michigan, licensed in Michigan (5601003308) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144260266

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameKRISTA DELONGCredential: PA-C

Location Address15100 WHITTAKER WAYGrand Haven, MI 49417-8696

Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560

Phone(616) 935-6300

Sole ProprietorNo

Enumeration DateJune 7, 2006

Last NPPES UpdateMarch 2, 20212 updates tracked since enumeration

NPPES CertifiedMarch 2, 2021

✔ NPI 1144260266 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 · 5601003308

15100 WHITTAKER WAY, Grand Haven, MI 49417

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Other Names 1

Former Name (1)Krista Hansen Pa-c

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, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Krista Delong Pa-c 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.

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