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ALIVIA DANIELLE DESENFANTS
NPI 1578456190
Physician Assistant in White Lake, MI

Active since June 02, 2025PECOS Enrolled
2679 TACKLES DR, WHITE LAKE, MI 48386(248) 860-4757 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Alivia Danielle Desenfants NPPES

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

ALIVIA DANIELLE DESENFANTS (NPI 1578456190) is an individual physician assistant in White Lake, Michigan and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1578456190
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALIVIA DANIELLE DESENFANTS
Location Address2679 TACKLES DRWhite Lake, MI 48386-1562
Mailing Address2679 Tackles DrWhite Lake, MI 48386-1562 · (248) 860-4757
Phone(248) 860-4757
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 2, 2025
NPPES CertifiedJune 2, 2025
✔ NPI 1578456190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
2679 TACKLES DR, White Lake, MI 48386
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alivia Danielle Desenfants is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254802457
PECOS Enrollment IDI20260609001683
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48386 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.

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 Alivia Desenfants's NPI number?

The NPI number for Alivia Desenfants is 1578456190. It was assigned to this individual provider in the NPPES registry on June 2, 2025.

Where is Alivia Desenfants located?

Alivia Desenfants practices at 2679 Tackles Dr, White Lake, MI 48386. The listed phone number is (248) 860-4757.

What is Alivia Desenfants's specialty?

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

Is Alivia Desenfants enrolled in Medicare?

Yes. Alivia Desenfants is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alivia Desenfants was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.