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ERICA COUSINEAU
NPI 1619793692
Physician Assistant in Traverse City, MI

Active since November 25, 2024PECOS EnrolledAccepts Medicare Assignment
2200 DENDRINOS DR, TRAVERSE CITY, MI 49684(616) 331-5999 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Erica Cousineau NPPES

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

ERICA COUSINEAU (NPI 1619793692) is an individual physician assistant in Traverse City, Michigan and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS, is affiliated with Munson Healthcare Otsego Memorial Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1619793692
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameERICA COUSINEAU
Location Address2200 DENDRINOS DRTraverse City, MI 49684-8070
Mailing Address2200 Dendrinos DrTraverse City, MI 49684-8070
Phone(616) 331-5999
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 25, 2024
NPPES CertifiedNovember 25, 2024
✔ NPI 1619793692 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.
2200 DENDRINOS DR, Traverse City, MI 49684
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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 and accepts Medicare assignment

Erica Cousineau 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 ID7810478062
PECOS Enrollment IDI20260225002593
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

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

Munson Healthcare Otsego Memorial Hospital

Acute Care Hospitals · Gaylord, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230133
Location825 N Center AveGaylord, MI 49735 · Otsego County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 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 9

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

ALEXANDRIA GABRYELLA DUBOIS PA
Physician Assistant
2200 DENDRINOS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (616) 331-5700
EAN FRITCH PA
Physician Assistant
2200 DENDRINOS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (616) 331-5700
KRISTEN JENAE LAPAN PA
Physician Assistant
2200 DENDRINOS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (616) 331-5700
ANTHONY JOHN CILLUFFO MS, AT, ATC, CEIS
Physician Assistant
2200 DENDRINOS DR, STE 102
TRAVERSE CITY, MI 49684
Grand Traverse County (616) 331-5700
KAITLYN ELIZABETH BOETTGER
Physician Assistant
2200 DENDRINOS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (616) 331-5700
MR. DAVID RICHARD BUCHANAN JR.
Physician Assistant
2200 DENDRINOS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (231) 866-6037
LAUREN VANDER HILL
Physician Assistant
2200 DENDRINOS DR
TRAVERSE CITY, MI 49684
Grand Traverse County (616) 313-5700
MR. MATTHEW DAVID PURTEE PA
Physician Assistant
2200 DENDRINOS DR, SUITE 102
TRAVERSE CITY, MI 49684
Grand Traverse County (616) 331-5700

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 Erica Cousineau's NPI number?

The NPI number for Erica Cousineau is 1619793692. It was assigned to this individual provider in the NPPES registry on November 25, 2024.

Where is Erica Cousineau located?

Erica Cousineau practices at 2200 Dendrinos Dr, Traverse City, MI 49684. The listed phone number is (616) 331-5999.

What is Erica Cousineau's specialty?

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

Is Erica Cousineau enrolled in Medicare?

Yes. Erica Cousineau 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.

Is Erica Cousineau affiliated with any hospitals?

According to CMS data, Erica Cousineau is affiliated with Munson Healthcare Otsego Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Erica Cousineau was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.