JAVAN MEDEMA PA-C
NPI 1194554774
Physician Assistant in Hastings, MI

Q: What is Javan Medema's NPI number?

The NPI number for Javan Medema is 1194554774. It was assigned to this individual provider in the NPPES registry on July 31, 2024.

Q: What is Javan Medema's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Javan Medema was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.

Active since July 31, 2024PECOS EnrolledAccepts Medicare Assignment

1009 W GREEN ST, HASTINGS, MI 49058(269) 945-3451 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 29, 2025, May 11, 2025, Jul 31, 2024 (3 updates tracked since 2024).

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About Javan Medema Pa-c NPPES

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

JAVAN MEDEMA PA-C (NPI 1194554774) is an individual physician assistant in Hastings, Michigan, licensed in Michigan (5601012929) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS, is affiliated with Corewell Health Pennock Hospital, and is a graduate of Lincoln Memorial University Medical Department (2024).

NPPES Registry Identity

NPI1194554774

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJAVAN MEDEMACredential: PA-C

Location Address1009 W GREEN STHastings, MI 49058-1710

Mailing Address4100 Embassy Dr Se Ste 400Grand Rapids, MI 49546-2416 · (616) 988-8220

Phone(269) 945-3451

Sole ProprietorNo

Medical School CMSLincoln Memorial University Medical DepartmentGraduated 2024

Enumeration DateJuly 31, 2024

Last NPPES UpdateMay 29, 20253 updates tracked since enumeration

NPPES CertifiedMay 29, 2025

✔ NPI 1194554774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MI · 5601012929

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.

1009 W GREEN ST, Hastings, MI 49058

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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.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

Javan Medema 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 ID9638688153

PECOS Enrollment IDI20250604003259

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.

Corewell Health Pennock Hospital

Critical Access Hospitals · Hastings, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number231339

Location1009 W Green StHastings, MI 49058 · Barry County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49058 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 20

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

JENNIFER ANN MERVAU DO

Emergency Medicine