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

Individual provider Physician Assistant · NPI 1972160505

MS. Devon E Fenner, PA-C is a Physician Assistant in Port Huron, Michigan. Qualified in 2019, 7 years ago. Practices with Mymichigan Medical Center Midland, a 509-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2019
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

750 Lakeview Ave
Port Huron, MI 48060-2104
Phone: (810) 488-5795
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (MI)

Record details

NPI number1972160505
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 20, 2019
Last updated in NPPESMay 9, 2024
Certification dateMay 9, 2024
Mailing address4100 Campus Ridge Dr, Midland, MI 48640-6139

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Mymichigan Medical Center Midland — 509 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Port Huron