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THERESA JEAN PEBBLES PA-C
NPI 1851594501
Physician Assistant in Grand Haven, MI

Active since June 08, 2007PECOS EnrolledAccepts Medicare Assignment
1445 SHELDON RD, STE 300, GRAND HAVEN, MI 49417(616) 296-1500(616) 296-1502 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Nov 15, 2024, Aug 16, 2019, Feb 4, 2016 (3 updates tracked since 2016).

About Theresa Jean Pebbles Pa-c NPPES

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

THERESA JEAN PEBBLES PA-C (NPI 1851594501) is an individual physician assistant in Grand Haven, Michigan, licensed in Michigan (5601005030) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Trinity Health Muskegon Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1851594501
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTHERESA JEAN PEBBLESCredential: PA-C
Location Address1445 SHELDON RD, STE 300Grand Haven, MI 49417-2479
Mailing AddressPo Box 776982Chicago, IL 60677-6982 · (800) 494-5797
Phone(616) 296-1500
Fax(616) 296-1502
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 8, 2007
Last NPPES UpdateNovember 15, 20243 updates tracked since enumeration
NPPES CertifiedNovember 15, 2024
✔ NPI 1851594501 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 · 5601005030
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.
1445 SHELDON RD, Grand Haven, MI 49417
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Other Names 1

Former Name (1)Theresa Jean Conway P.a.

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, McLaren Health Plan Community and more.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

Theresa Jean Pebbles 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 ID6709978224
PECOS Enrollment IDI20070828000673
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.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
27 services20 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
16 services16 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Trinity Health Muskegon Hospital

Acute Care Hospitals · Muskegon, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230066
Location1500 E Sherman BlvdMuskegon, MI 49441 · Muskegon County
Emergency services Birthing friendly

Trinity Health Grand Haven Hospital

Acute Care Hospitals · Grand Haven, MI
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number230174
Location1309 Sheldon RdGrand Haven, MI 49417 · Ottawa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49417 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.

MEGAN AUFFREY ZAMBIASI MA, LLP
Psychologist
1445 SHELDON RD
GRAND HAVEN, MI 49417
Ottawa County (616) 847-5145
SHAWN PATRICK REIDY MD
Family Medicine
1445 SHELDON RD, STE 300
GRAND HAVEN, MI 49417
Ottawa County (616) 296-1500
PINE REST CHRISTIAN MENTAL HEALTH SERVICES
Psychiatry & Neurology (Psychiatry)
1445 SHELDON RD, HARBOR DUNES HEALTH CENTER
GRAND HAVEN, MI 49417
Ottawa County (616) 847-5145
JENNIFER MARIE ZERKLE FNP-C
Nurse Practitioner
1445 SHELDON RD
GRAND HAVEN, MI 49417
Ottawa County (616) 296-1550
RICHARD ANTHONY BASZLER II D.O.
Orthopaedic Surgery
1445 SHELDON RD
GRAND HAVEN, MI 49417
Ottawa County (616) 296-9100
SHORELINE OPTICAL, LLC
Eyewear Supplier
1445 SHELDON RD, SUITE 100
GRAND HAVEN, MI 49417
Ottawa County (231) 739-9009
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Internal Medicine
1445 SHELDON RD
GRAND HAVEN, MI 49417
Ottawa County (616) 846-1860
KAYLIE DIONNE WATERS RN, BSN
Nurse Practitioner
1445 SHELDON RD, STE 300
GRAND HAVEN, MI 49417
Ottawa County (616) 296-1500

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 Theresa Pebbles's NPI number?

The NPI number for Theresa Pebbles is 1851594501. It was assigned to this individual provider in the NPPES registry on June 8, 2007. The provider is also known as Theresa Jean Conway P.A..

Where is Theresa Pebbles located?

Theresa Pebbles practices at 1445 Sheldon Rd Ste 300, Grand Haven, MI 49417. The listed phone number is (616) 296-1500.

What is Theresa Pebbles's specialty?

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

Is Theresa Pebbles enrolled in Medicare?

Yes. Theresa Pebbles 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 Theresa Pebbles accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health list Theresa Pebbles 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 Theresa Pebbles affiliated with any hospitals?

According to CMS data, Theresa Pebbles is affiliated with Trinity Health Muskegon Hospital and Trinity Health Grand Haven Hospital.

When was this NPI record last updated?

The NPPES record for Theresa Pebbles was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.