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

Andrea Rose Koerner, PA

Individual provider Physician Assistant · NPI 1689236002

Andrea Rose Koerner, PA is a Physician Assistant in East Lansing, Michigan. Qualified in 2019, 7 years ago. Practices with Troy Gastroenterology PC, a 47-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1650 Ramblewood Dr
East Lansing, MI 48823-7396
Phone: (517) 332-1200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601010497 (MI)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1689236002
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 5, 2019
Last updated in NPPESMay 28, 2021
Certification dateMay 28, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Troy Gastroenterology Pc — 47 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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