Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Allyssa Jaye Livovich

Individual provider Physician Assistant · NPI 1699521021

Allyssa Jaye Livovich is a Physician Assistant in Saint Joseph, Michigan. Qualified in 2024, 2 years ago. Practices with Epmg Southwest Michigan PLLC, a 45-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
2
Licensed in
MI
In the registry since
2024
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Practice location Address checks out

1234 Napier Ave
Saint Joseph, MI 49085-2112
Phone: (269) 930-2130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 31 N Saint Joseph Ave, Niles, MI 49120-2207 — (269) 930-2130

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601012395 (MI)

Record details

NPI number1699521021
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 26, 2024
Last updated in NPPESAugust 4, 2024
Certification dateAugust 4, 2024
Mailing address1372 Barron Lake Rd, Niles, MI 49120-9355

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Epmg Southwest Michigan Pllc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Saint Joseph