DEVAN DYKSTRA
NPI 1902467061
Family Medicine in Saint Clair Shores, MI

Active since June 27, 2019PECOS EnrolledAccepts Medicare Assignment
21400 E 11 MILE RD, SAINT CLAIR SHORES, MI 48081(586) 498-4400 Get Directions Write a Review

NPPES record last updated: June 27, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Devan Dykstra NPPES

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

DEVAN DYKSTRA (NPI 1902467061) is an individual family medicine provider in Saint Clair Shores, Michigan, licensed in Michigan (4351044757) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Wayne State University School Of Medicine (2019).

NPPES Registry Identity

NPI1902467061
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDEVAN DYKSTRA
Location Address21400 E 11 MILE RDSaint Clair Shores, MI 48081-1566
Mailing Address21400 E 11 Mile RdSaint Clair Shores, MI 48081-1566
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2019
Enumeration DateJune 27, 2019
NPI 1902467061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 4351044757
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

21400 E 11 MILE RD, Saint Clair Shores, MI 48081

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

Devan Dykstra 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 ID244616514
PECOS Enrollment IDI20221011000653
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

Mercy Health Saint Mary's

Acute Care Hospitals · Grand Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230059
Location200 Jefferson Avenue SEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48081 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
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
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 19

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

Family Medicine
21400 E 11 MILE RD
ST CLAIR SHORES, MI 48081
Pharmacy (Community/Retail Pharmacy)
21400 E 11 MILE RD
ST CLAIR SHORES, MI 48081
Family Medicine
21400 E 11 MILE RD
SAINT CLAIR SHORES, MI 48081
Family Medicine
21400 E 11 MILE RD
SAINT CLAIR SHORES, MI 48081
Registered Nurse (Maternal Newborn)
21400 E 11 MILE RD
SAINT CLAIR SHORES, MI 48081
Social Worker
21400 E 11 MILE RD
SAINT CLAIR SHORES, MI 48081
Dietitian, Registered
21400 E 11 MILE RD
SAINT CLAIR SHORES, MI 48081
Pharmacy
21400 E 11 MILE RD
SAINT CLAIR SHORES, MI 48081

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 Devan Dykstra's NPI number?

The NPI number for Devan Dykstra is 1902467061. It was assigned to this individual provider in the NPPES registry on June 27, 2019.

Where is Devan Dykstra located?

Devan Dykstra practices at 21400 E 11 Mile Rd, Saint Clair Shores, MI 48081. The listed phone number is (586) 498-4400.

What is Devan Dykstra's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Devan Dykstra enrolled in Medicare?

Yes. Devan Dykstra 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 Devan Dykstra accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 4 other insurers list Devan Dykstra 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 Devan Dykstra affiliated with any hospitals?

According to CMS data, Devan Dykstra is affiliated with Spectrum Health and Mercy Health Saint Mary's.

When was this NPI record last updated?

The NPPES record for Devan Dykstra was last updated on June 27, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.