Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

REBECCA M GANZOW-FORTIER PA-C
NPI 1194812180
Physician Assistant in Baldwin, MI

Q: What is Rebecca Ganzow-fortier's NPI number?

The NPI number for Rebecca Ganzow-fortier is 1194812180. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Q: What is Rebecca Ganzow-fortier's specialty?

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

Active since October 10, 2006PECOS EnrolledAccepts Medicare Assignment

1615 MICHIGAN AVE, BALDWIN, MI 49304(231) 745-4624(231) 745-4928 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 7, 2026, Feb 9, 2022, Nov 19, 2021 and 2 more (5 updates tracked since 2018).

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About Rebecca M Ganzow-fortier Pa-c NPPES

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

REBECCA M GANZOW-FORTIER PA-C (NPI 1194812180) is an individual physician assistant in Baldwin, Michigan, licensed in Wisconsin (3068-023) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Corewell Health Big Rapids Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1194812180

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameREBECCA M GANZOW-FORTIERCredential: PA-C

Location Address1615 MICHIGAN AVEBaldwin, MI 49304-7984

Mailing Address520 Cobb StCadillac, MI 49601-2588 · (231) 745-4624 · Fax (231) 876-6519

Phone(231) 745-4624

Fax(231) 745-4928

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateOctober 10, 2006

Last NPPES UpdateAugust 7, 20265 updates tracked since enumeration

NPPES CertifiedAugust 7, 2026

✔ NPI 1194812180 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 WI · 3068-023

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.

1615 MICHIGAN AVE, Baldwin, MI 49304

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 and accepts Medicare assignment

Rebecca M Ganzow-fortier 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 ID3375571649

PECOS Enrollment IDI20130311000415

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 3

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

Corewell Health Big Rapids Hospital

Acute Care Hospitals · Big Rapids, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230093

Location605 Oak StreetBig Rapids, MI 49307 · Mecosta County

Emergency services Birthing friendly

Corewell Health Ludington Hospital

Acute Care Hospitals · Ludington, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230110

LocationOne N Atkinson DriveLudington, MI 49431 · Mason County

Emergency services Birthing friendly

Corewell Health Reed City Hospital

Critical Access Hospitals · Reed City, MI

OwnershipVoluntary non-profit - Private

CMS Certification Number231323

Location300 N Patterson, PO Box 75Reed City, MI 49677 · Osceola County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49304 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.

ANIKA WALTONSTANCIEL

Social Worker (Clinical)