ERIC RANDALL DEJONG AGACNP
NPI 1629619903
Nurse Practitioner - Gerontology in Holland, MI
About Eric Randall Dejong Agacnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ERIC RANDALL DEJONG AGACNP (NPI 1629619903) is an individual gerontology provider in Holland, Michigan, licensed in Michigan (4704295254) and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS, is affiliated with Corewell Health Zeeland Hospital, and is a graduate of Georgetown University School Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses
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
Eric Randall Dejong Agacnp 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.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Corewell Health Zeeland Hospital
Acute Care Hospitals · Zeeland, MISpectrum Health
Acute Care Hospitals · Grand Rapids, MIHolland Community Hospital
Acute Care Hospitals · Holland, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49423 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HOLLAND, MI 49423
HOLLAND, MI 49423
HOLLAND, MI 49423
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 Eric Dejong's NPI number?
The NPI number for Eric Dejong is 1629619903. It was assigned to this individual provider in the NPPES registry on October 8, 2019.
Where is Eric Dejong located?
Eric Dejong practices at 602 Michigan Ave Ste 102, Holland, MI 49423. The listed phone number is (616) 494-8724.
What is Eric Dejong's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Eric Dejong enrolled in Medicare?
Yes. Eric Dejong 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 Eric Dejong accept?
Health plans from McLaren Health Plan Community and Priority Health list Eric Dejong 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 Eric Dejong affiliated with any hospitals?
According to CMS data, Eric Dejong is affiliated with Corewell Health Zeeland Hospital, Spectrum Health and Holland Community Hospital.
When was this NPI record last updated?
The NPPES record for Eric Dejong was last updated on October 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Eric Randall Dejong, AGACNP · NPI 1629619903
Gerontology physician in Holland, Michigan. Individual provider, active in the CMS NPPES registry since October 8, 2019.
## Identity
- **NPI:** 1629619903 (Entity type: Individual)
- **Enumerated:** October 8, 2019
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 4704295254 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 602 MICHIGAN AVE STE 102, Holland, MI 49423-4918
- **Phone:** (616) 494-8724
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Georgetown University School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** October 14, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1629619903) · Data from the CMS NPPES public registry.