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

Payton Matthew Hirschenberger, PA

Individual provider Physician Assistant · NPI 1174254213

Payton Matthew Hirschenberger, PA is a Physician Assistant in Caledonia, Michigan. Qualified in 2022, 4 years ago. Practices with Medical Office of John Vassallo MD PLLC, a 5-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2022
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

9090 S Rodgers Ct SE Ste A
Caledonia, MI 49316-8052
Phone: (616) 891-0422
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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 5601011212 (MI)

Record details

NPI number1174254213
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 20, 2022
Last updated in NPPESApril 21, 2025
Certification dateApril 21, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Medical Office Of John Vassallo Md Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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