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

Courtney L Converse, PA-C

Individual provider Surgical Physician Assistant · NPI 1699743872

Courtney L Converse, PA-C is a Physician Assistant in Kalamazoo, Michigan. Qualified in 2004, 22 years ago. Practices with Forefront Dermatology SC, a 645-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
22
Licensed in
MI
In the registry since
2006
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

535 S Burdick St Ste 256
Kalamazoo, MI 49007-6112
Phone: (269) 290-1901
Fax: (269) 290-1913
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2545 Capital Ave Sw Ste 207, Battle Creek, MI 49015-7123 — (269) 234-7096

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601004349 (MI)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 5601004349 (MI)

Record details

NPI number1699743872
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 14, 2006
Last updated in NPPESJune 1, 2022
Certification dateJune 1, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Forefront Dermatology Sc — 645 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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