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

Individual provider Physician Assistant · NPI 1144995697

Kyrie Heydenburg, PA is a Physician Assistant in Lansing, Michigan. Qualified in 2021, 5 years ago. Practices with Lansing Urgent Care PLC, a 42-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California and Michigan.

Years since qualifying
5
Licensed in
CA, MI
In the registry since
2021
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1215 E Michigan Ave
Lansing, MI 48912-1811
Phone: (517) 364-2616
Fax: (517) 364-3525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2823 Fresno St, Fresno, CA 93721-1324 — (559) 443-2682
  • 1200 E Michigan Ave Ste 655, Lansing, MI 48912-1837 — (517) 364-2616

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 5601012432 (MI)
Physician Assistant Taxonomy 363A00000X · Licence 60068 (CA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 60068 (CA)

Record details

NPI number1144995697
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 16, 2021
Last updated in NPPESFebruary 13, 2025
Certification dateFebruary 6, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Lansing Urgent Care Plc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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