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

Individual provider Physician Assistant · NPI 1568088680

Michelle De Varennes, MS, PA-C is a Physician Assistant in Saint Clair Shores, Michigan. Qualified in 2020, 6 years ago. Practices with Independent Observation Physicians PLLC, a 136-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2020
What do these letters mean?
MS — Master of Science
A graduate science degree.
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

25311 Little Mack Ave Ste B
Saint Clair Shores, MI 48081-3301
Phone: (586) 498-2400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4201 Saint Antoine St, Detroit, MI 48201-2153 — (313) 745-3000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601010055 (MI)

Record details

NPI number1568088680
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , PA-C
Sole proprietorNo
NPI enumeratedJune 24, 2020
Last updated in NPPESMay 9, 2021
Certification dateMay 9, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Independent Observation Physicians Pllc — 136 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Saint Clair Shores