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

AUTUMN NICOLE ESPINOZA PA-C
NPI 1538053749
Physician Assistant in Detroit, MI

Q: What is Autumn Espinoza's NPI number?

The NPI number for Autumn Espinoza is 1538053749. It was assigned to this individual provider in the NPPES registry on June 4, 2025.

Q: What is Autumn Espinoza'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 Autumn Espinoza was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 58 days 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 June 04, 2025PECOS EnrolledAccepts Medicare Assignment

2799 W GRAND BLVD, DETROIT, MI 48202(313) 916-2393 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Autumn Nicole Espinoza Pa-c NPPES

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

AUTUMN NICOLE ESPINOZA PA-C (NPI 1538053749) is an individual physician assistant in Detroit, Michigan, licensed in Michigan (5601013230) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, is affiliated with Mclaren Central Michigan, and maintains a secondary practice location in Ludington.

NPPES Registry Identity

NPI1538053749

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameAUTUMN NICOLE ESPINOZACredential: PA-C

Location Address2799 W GRAND BLVDDetroit, MI 48202-2608

Mailing Address1 Ford Pl Ste 3aDetroit, MI 48202-3450 · (313) 874-4806 · Fax (313) 876-1305

Phone(313) 916-2393

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJune 4, 2025

Last NPPES UpdateJune 15, 2026

NPPES CertifiedJune 15, 2026

✔ NPI 1538053749 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 · 5601013230

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.

2799 W GRAND BLVD, Detroit, MI 48202

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Secondary Practice Location 1

Location 11790 N Ridge View CtLudington, MI 49431-8682 · Phone (231) 907-1476 · Fax (231) 907-1476

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.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

Autumn Nicole Espinoza 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 ID648772723

PECOS Enrollment IDI20250908001402

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 2

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

Mclaren Central Michigan

Acute Care Hospitals · Mount Pleasant, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230080

Location1221 South DriveMount Pleasant, MI 48858 · Isabella County

Emergency services Birthing friendly

Mclaren Northern Michigan

Acute Care Hospitals · Petoskey, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230105

Location416 Connable AvePetoskey, MI 49770 · Emmet County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48202 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 20

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

HENRY FORD HOSPITAL

General Acute Care Hospital