Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kristie K Greear, PA-C

Individual provider Physician Assistant · NPI 1710492590

Mrs. Kristie K Greear, PA-C is a Physician Assistant in Dearborn, Michigan. Qualified in 2017, 9 years ago. Practices with Henry Ford Physician Partners, a 79-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
9
Licensed in
MI
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

20200 Outer Dr
Dearborn, MI 48124-2634
Phone: (313) 914-4590
Fax: (313) 914-4531
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2799 W Grand Blvd, Detroit, MI 48202-2689 — (313) 916-1878

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601008508 (MI)

Record details

NPI number1710492590
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 3, 2017
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Henry Ford Physician Partners — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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