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

Michelle L Mardegian, PA-C

Individual provider Medical Physician Assistant · NPI 1457476129

Michelle L Mardegian, PA-C is a Physician Assistant in Dearborn, Michigan. Qualified in 1993, 33 years ago. Practices with Henry Ford Health System, a 2,540-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
33
Licensed in
MI
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

19401 Hubbard Dr
Dearborn, MI 48126-2641
Phone: (313) 982-8100
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5333 McAuley Dr, Ypsilanti, MI 48197-1014 — (734) 434-3200

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601002219 (MI)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 5601002219 (MI)

Record details

NPI number1457476129
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 20, 2007
Last updated in NPPESJuly 31, 2023
Certification dateJuly 31, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Henry Ford Health System — 2540 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Dearborn