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

Nicholas J Dyer, PA

Individual provider Physician Assistant · NPI 1902157621

Nicholas J Dyer, PA is a Physician Assistant in Jackson, Michigan. Qualified in 2012, 14 years ago. Practices with Eaton Rapids Medical Center, a 36-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
14
Licensed in
MI
In the registry since
2012
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

205 N East Ave
Jackson, MI 49201-1753
Phone: (517) 788-4800
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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 4601006490 (MI)

Record details

NPI number1902157621
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 20, 2012
Last updated in NPPESSeptember 20, 2012
Mailing address205 N East Ave, Jackson, MI 49201-1753

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Eaton Rapids Medical Center — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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