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

Connie M Anderson, PA-C

Individual provider Physician Assistant · NPI 1124012919

Connie M Anderson, PA-C is a Physician Assistant in Holland, Michigan. Qualified in 1997, 29 years ago. Practices with Jack a Dekkinga MD PC, a 20-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
29
Licensed in
MI
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3290 N Wellness Dr Ste 240
Holland, MI 49424-7261
Phone: (616) 395-9379
Fax: (616) 820-1457
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3434 Rivertown Point Ct Sw, Grandville, MI 49418-3076 — (616) 257-3344
  • 6150 Northland Drive, Rockford, MI 49341 — (616) 942-9343

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601002814 (MI)
Dermatology Physician Taxonomy 207N00000X · Licence 5601002814 (MI)

Record details

NPI number1124012919
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 7, 2005
Last updated in NPPESJuly 18, 2024
Certification dateJuly 12, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Jack A Dekkinga Md Pc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Holland