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

Stephanie Quist, PA-C

Individual provider Physician Assistant · NPI 1104394717

Stephanie Quist, PA-C is a Physician Assistant in Rockford, Michigan. Graduated from Central Michigan College of Medicine in 2019, 7 years ago. Practices with Jack a Dekkinga MD PC, a 20-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Trained at
Central Michigan College of Medicine
Licensed in
MI
In the registry since
2018
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

6150 Northland Dr
Rockford, MI 49341
Phone: (616) 942-9343
Fax: (616) 942-2538
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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 5601009614 (MI)

Record details

NPI number1104394717
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 13, 2018
Last updated in NPPESJuly 31, 2024
Certification dateJuly 23, 2024
Mailing address6150 Northland Drive, Rockford, MI 49341

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolCENTRAL MICHIGAN COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Jack A Dekkinga Md Pc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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