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

Mr. Andre Lane Pride, PAC

Individual provider Physician Assistant · NPI 1881961027

Mr. Andre Lane Pride, PAC is a Physician Assistant in Battle Creek, Michigan. Qualified in 2011, 15 years ago. Practices with Southwestern Michigan Emergency Services, PC, a 67-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
15
Licensed in
MI
In the registry since
2011
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

300 N Ave
Battle Creek, MI 49017-3307
Phone: (269) 966-8000
Fax: (937) 619-4150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601006117 (MI)

Record details

NPI number1881961027
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedNovember 16, 2011
Last updated in NPPESMay 30, 2012

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Southwestern Michigan Emergency Services, Pc — 67 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Battle Creek