DENISE JOELL BAILEY PA-C
NPI 1457607806
Physician Assistant in Muskegon, MI

Active since August 02, 2012PECOS EnrolledAccepts Medicare Assignment
1150 E SHERMAN BLVD STE 1175, MUSKEGON, MI 49444(231) 672-6740(231) 672-6787 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 17, 2021, Sep 7, 2018, Dec 16, 2015 (3 updates tracked since 2015).

About Denise Joell Bailey Pa-c NPPES

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

DENISE JOELL BAILEY PA-C (NPI 1457607806) is an individual physician assistant in Muskegon, Michigan, licensed in Michigan (5601008601) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, is affiliated with Trinity Health Muskegon Hospital, and maintains a secondary practice location in Phoenix.

NPPES Registry Identity

NPI1457607806
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDENISE JOELL BAILEYCredential: PA-C
Location Address1150 E SHERMAN BLVD STE 1175Muskegon, MI 49444-1885
Mailing AddressPo Box 1848Muskegon, MI 49443-1848 · (231) 727-5211 · Fax (231) 727-4571
Fax(231) 672-6787
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 2, 2012
Last NPPES UpdateDecember 17, 20213 updates tracked since enumeration
NPPES CertifiedDecember 17, 2021
NPI 1457607806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in MI · 5601008601 Licensed in AZ · 5761 Licensed in IL · 085004364
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.

1150 E SHERMAN BLVD STE 1175, Muskegon, MI 49444

Secondary Practice Location 1

Location 118444 N 25th Ave, Ste 210Phoenix, AZ 85023-1261 · Phone (866) 974-2673 · Fax (866) 939-2673

Accepted 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

Denise Joell Bailey 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 ID6800036849
PECOS Enrollment IDI20181024000393
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
92 services65 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
36 services34 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
24 services24 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
15 services12 patients

Hospital Affiliations CMS Care Compare

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

Trinity Health Muskegon Hospital

Acute Care Hospitals · Muskegon, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230066
Location1500 E Sherman BlvdMuskegon, MI 49441 · Muskegon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49444 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers11 claims36 services$6.58 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers19 claims19 services$90.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Social Worker (Clinical)
1150 E SHERMAN BLVD STE 1175
MUSKEGON, MI 49444
Hospitalist
1150 E SHERMAN BLVD STE 1175
MUSKEGON, MI 49444
Family Medicine (Geriatric Medicine)
1150 E SHERMAN BLVD STE 1175
MUSKEGON, MI 49444
Nurse Practitioner (Family)
1150 E SHERMAN BLVD STE 1175
MUSKEGON, MI 49444
Student in an Organized Health Care Education/Training Program
1150 E SHERMAN BLVD STE 1175
NORTON SHORES, MI 49444
Nurse Practitioner (Family)
1150 E SHERMAN BLVD STE 1175
MUSKEGON, MI 49444
Family Medicine
1150 E SHERMAN BLVD STE 1175
MUSKEGON, MI 49444

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 Denise Bailey's NPI number?

The NPI number for Denise Bailey is 1457607806. It was assigned to this individual provider in the NPPES registry on August 2, 2012.

Where is Denise Bailey located?

Denise Bailey practices at 1150 E Sherman Blvd Ste 1175, Muskegon, MI 49444. The listed phone number is (231) 672-6740.

What is Denise Bailey's specialty?

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

Is Denise Bailey enrolled in Medicare?

Yes. Denise Bailey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Denise Bailey accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Denise Bailey as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Denise Bailey affiliated with any hospitals?

According to CMS data, Denise Bailey is affiliated with Trinity Health Muskegon Hospital.

When was this NPI record last updated?

The NPPES record for Denise Bailey was last updated on December 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.