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

Kaylie Rickert

Individual provider Physician Assistant · NPI 1083422778

Kaylie Rickert is a Physician Assistant in East Lansing, Michigan. Qualified in 2024, 2 years ago. Practices with Mid Michigan Ear Nose and Throat PC, a 25-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2024
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Practice location Address checks out

1500 Abbot Rd Ste 400
East Lansing, MI 48823-1956
Phone: (517) 332-0100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1083422778
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 26, 2024
Last updated in NPPESDecember 26, 2024
Certification dateDecember 26, 2024
Mailing address1500 Abbot Rd Ste 400, East Lansing, MI 48823-1956

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 Mid Michigan Ear Nose And Throat Pc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in East Lansing