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

MS. Penelope Rampazo, PA

Individual provider Physician Assistant · NPI 1366245110

MS. Penelope Rampazo, PA is a Physician Assistant in Detroit, Michigan. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Michigan.

Years since qualifying
1
Licensed in
MI
In the registry since
2025
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

3031 W Grand Blvd
Detroit, MI 48202-3046
Phone: (313) 916-2454
Show map & directions

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

Additional practice locations (1)

  • 1227 Summit St, Lapeer, MI 48446-3919 — (248) 403-1019

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601013352 (MI)

Record details

NPI number1366245110
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 28, 2025
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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