Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Eric Randall Dejong, AGACNP

Individual provider Gerontology Nurse Practitioner · NPI 1629619903

Eric Randall Dejong, AGACNP is a Nurse Practitioner in Holland, Michigan. Graduated from Georgetown University School of Medicine in 2019, 7 years ago. Practices with Spectrum Health Primary Care Partners, a 2,303-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Trained at
Georgetown University School of Medicine
Licensed in
MI
In the registry since
2019
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Practice location Address checks out

602 Michigan Ave Ste 102
Holland, MI 49423-4918
Phone: (616) 494-8724
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 4704295254 (MI)

Record details

NPI number1629619903
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedOctober 8, 2019
Last updated in NPPESOctober 14, 2022
Certification dateOctober 14, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Spectrum Health Primary Care Partners — 2303 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients231
Services billed 392 a service is one billed item, such as a visit, a test or a procedure
Average patient age78

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

  • Holland Hospital Hospital · Holland, MI
  • Spectrum Health Hospital · Grand Rapids, MI · listed as Spectrum Health Hospital
  • Corewell Health Zeeland Hospital Hospital · Zeeland, MI

Colleagues at Spectrum Health Primary Care Partners

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 2303 clinicians in the practice; 12 are shown here.

Other providers in Holland