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

Sarah Rousakis, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1225670367

Sarah Rousakis, PHYSICIANASSISTANT is a Physician Assistant in Lansing, Michigan. Qualified in 2019, 7 years ago. Practices with Advanced Dermatology of Michigan PC, a 40-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
7
Licensed in
IN
In the registry since
2019
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Practice location Address checks out

416 S Creyts Rd Ste A
Lansing, MI 48917-8290
Phone: (517) 886-0333
Fax: (517) 886-2072
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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 10002819A (IN)

Record details

NPI number1225670367
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedOctober 10, 2019
Last updated in NPPESJanuary 13, 2026
Certification dateJanuary 13, 2026
Mailing address151 Southhall Ln Ste 300, Maitland, FL 32751-7172

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 Advanced Dermatology Of Michigan Pc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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