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

Individual provider Physician Assistant · NPI 1467174003

Simon Ebbott, PA-C is a Physician Assistant in Big Rapids, Michigan. Qualified in 2022, 4 years ago. Practices with Mecosta County Medical Center, a 53-clinician group and accepts Medicare assignment. Licensed in Michigan.

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

650 Linden St Ste 1
Big Rapids, MI 49307-1880
Phone: (231) 796-3200
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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 5601011383 (MI)

Record details

NPI number1467174003
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 12, 2022
Last updated in NPPESApril 3, 2023
Certification dateApril 3, 2023
Mailing address100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560

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 Mecosta County Medical Center — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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