Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ena Osterhouse, PA-C

Individual provider Medical Physician Assistant · NPI 1396129490

Ena Osterhouse, PA-C is a Physician Assistant in Grand Rapids, Michigan. Qualified in 2015, 11 years ago. Practices with Ascension Medical Group Promed, a 255-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
11
Licensed in
FL
In the registry since
2015
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

100 Michigan St NE Ste 8830
Grand Rapids, MI 49503-2560
Phone: (616) 459-7258
Fax: (616) 459-5215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 601 E Rollins St, Orlando, FL 32803-1248 — (407) 303-7283

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA9112866 (FL)

Record details

NPI number1396129490
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 17, 2015
Last updated in NPPESFebruary 4, 2020
Certification dateFebruary 4, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Ascension Medical Group Promed — 255 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Grand Rapids