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

Individual provider Dermatology Physician · NPI 1346938115

Kaylee Diekevers, PA-C is a Physician Assistant in Grand Rapids, Michigan. Qualified in 2024, 2 years ago. Practices with Prosperity Medical, PLLC, a 2-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
2
Licensed in
MI
In the registry since
2023
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

1000 E Paris Ave SE Ste 104
Grand Rapids, MI 49546-3680
Phone: (616) 369-1600
Fax: (616) 328-6189
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 5601012583 (MI)

Record details

NPI number1346938115
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 28, 2023
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Prosperity Medical, Pllc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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