Look up the most recent NPI and PECOS records

Elizabeth House

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

275 Michigan St NE, Grand Rapids, MI 49503-2531

PECOS Enrollment

Based on the most recent information from CMS, provider Elizabeth House is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 10:37 AM.

Profile Details

Provider ID
1205253424
Provider Type
Individual
Full Name
House, Elizabeth
Credential
PA

Gender
Female
Sole Proprietor
No
Enumeration Date
3/26/2014
Last Updated
1/27/2025

Contact Information

Practice Location

275 Michigan St NE, Grand Rapids, MI 49503-2531

(616) 267-8700

(616) 267-8247

Mailing Location

100 Michigan St NE, Mc 845, Grand Rapids, MI 49503-2560

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 5601006926 Michigan

Elizabeth House

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Reiff, Rebekah A

Otteman, Makayla Denae

Lacourt, Ethan J

Loyd, Benjamin P

Bremer, Sarah Ruth

Mankivsky, Lauren

Meyer, Kylie

Pogliano, Bailey Elisabeth

Quinnan, Anna Noelle

Rogers, Abby Jayne