ROSE HULST PA-C
NPI 1720613490
Physician Assistant in Fremont, MI

Q: What is Rose Hulst's NPI number?

The NPI number for Rose Hulst is 1720613490. It was assigned to this individual provider in the NPPES registry on March 3, 2020. The provider is also known as Rose Pankiewicz.

Q: What is Rose Hulst'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 Rose Hulst was last updated on March 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 03, 2020PECOS EnrolledAccepts Medicare Assignment

230 W OAK ST, FREMONT, MI 49412(231) 924-4200 Get Directions Write a Review

NPPES record last updated: March 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 1, 2021, Feb 17, 2021, Aug 27, 2020 and 1 more (4 updates tracked since 2020).

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About Rose Hulst Pa-c NPPES

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

ROSE HULST PA-C (NPI 1720613490) is an individual physician assistant in Fremont, Michigan, licensed in Michigan (5601009818) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1720613490

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameROSE HULSTCredential: PA-C

Location Address230 W OAK STFremont, MI 49412-1526

Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560

Phone(231) 924-4200

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 3, 2020

Last NPPES UpdateMarch 1, 20214 updates tracked since enumeration

NPPES CertifiedMarch 1, 2021

✔ NPI 1720613490 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 · 5601009818

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.

230 W OAK ST, Fremont, MI 49412

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Other Names 1

Former Name (1)Rose Pankiewicz

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority 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

Rose Hulst 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 ID8022447465

PECOS Enrollment IDI20200406001263

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.

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230038

Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County

Emergency services Birthing friendly

Corewell Health Gerber Hospital

Critical Access Hospitals · Fremont, MI

OwnershipVoluntary non-profit - Private

CMS Certification Number231338

Location212 S Sullivan StFremont, MI 49412 · Newaygo County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49412 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 20

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

MRS. AUTUMN ELIZABETH DITTENBER PA-C

Physician Assistant

230 W OAK ST
FREMONT, MI 49412

Newaygo County (231) 924-4200

BRIAN S HOOD D.O.

Orthopaedic Surgery

230 W OAK ST
FREMONT, MI 49412

Newaygo County (231) 924-4200

ERIC R WEAVER MD

Family Medicine

230 W OAK ST
FREMONT, MI 49412

Newaygo County (231) 924-4200

DOUGLAS A. JOHNSON M.D.

Surgery

230 W OAK ST, SUITE 201
FREMONT, MI 49412

Newaygo County (231) 924-4200

JONI LYNN ERLEWEIN NP

Nurse Practitioner (Acute Care)

230 W OAK ST
FREMONT, MI 49412

Newaygo County (231) 924-1305

DONALD B. REINDERS M.D.

Family Medicine

230 W OAK ST, SUITE 201
FREMONT, MI 49412

Newaygo County (231) 924-4200

PINE MEDICAL GROUP PC

Family Medicine

230 W OAK ST
FREMONT, MI 49412

Newaygo County (231) 924-4200

JESSICA MCWATTERS PAC

Physician Assistant

230 W OAK ST
FREMONT, MI 49412

Newaygo County (231) 924-4200

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 Rose Hulst's NPI number?

The NPI number for Rose Hulst is 1720613490. It was assigned to this individual provider in the NPPES registry on March 3, 2020. The provider is also known as Rose Pankiewicz.

Where is Rose Hulst located?

Rose Hulst practices at 230 W Oak St, Fremont, MI 49412. The listed phone number is (231) 924-4200.

What is Rose Hulst's specialty?

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

Is Rose Hulst enrolled in Medicare?

Yes. Rose Hulst 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 Rose Hulst accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Rose Hulst 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 Rose Hulst affiliated with any hospitals?

According to CMS data, Rose Hulst is affiliated with Spectrum Health and Corewell Health Gerber Hospital.

When was this NPI record last updated?

The NPPES record for Rose Hulst was last updated on March 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.