ADVANCED PRACTICE PRIMARY CARE STAFF ASSOCIATES
NPI 1558029983
Clinic/Center - Primary Care in Edwardsburg, MI
About Advanced Practice Primary Care Staff Associates NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ADVANCED PRACTICE PRIMARY CARE STAFF ASSOCIATES (NPI 1558029983) is a healthcare organization registered as a primary care in Edwardsburg, Michigan and active in the NPI registry since December 2021. The organization lists Elizabeth A Van Overberghe, Family Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Advanced Practice Primary Care Staff Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Advanced Practice Primary Care Staff Associates, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Advanced Practice Primary Care Staff Associates's NPI number?
The NPI number for Advanced Practice Primary Care Staff Associates is 1558029983. It was assigned to this organization in the NPPES registry on December 2, 2021.
Where is Advanced Practice Primary Care Staff Associates located?
Advanced Practice Primary Care Staff Associates is located at 27160 Deerfield Ln, Edwardsburg, MI 49112. The listed phone number is (574) 485-9541.
What is Advanced Practice Primary Care Staff Associates's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Advanced Practice Primary Care Staff Associates enrolled in Medicare?
Yes. Advanced Practice Primary Care Staff Associates is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Advanced Practice Primary Care Staff Associates?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Advanced Practice Primary Care Staff Associates. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Advanced Practice Primary Care Staff Associates accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Advanced Practice Primary Care Staff Associates 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.
When was this NPI record last updated?
The NPPES record for Advanced Practice Primary Care Staff Associates was last updated on February 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Advanced Practice Primary Care Staff Associates · NPI 1558029983
Primary Care organization in Edwardsburg, Michigan. Organization record, active in the CMS NPPES registry since December 2, 2021.
## Identity
- **NPI:** 1558029983 (Entity type: Organization)
- **Enumerated:** December 2, 2021
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Elizabeth Van Overberghe, FAMILY NURSE PRACTITIONER
## Practice location
- **Address:** 27160 DEERFIELD LN, Edwardsburg, MI 49112-9663
- **Phone:** (574) 485-9541
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 18, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1558029983) · Data from the CMS NPPES public registry.