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

Tabitha Jane Ewert, PA-C

Individual provider Physician Assistant · NPI 1194163246

Tabitha Jane Ewert, PA-C is a Physician Assistant in Wayland, Michigan. Qualified in 2011, 15 years ago. Practices with Pennock Hospital, a 76-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
15
Licensed in
MI
In the registry since
2013
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

12851 W M 179 Hwy
Wayland, MI 49348-9318
Phone: (877) 377-7322
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601006650 (MI)

Record details

NPI number1194163246
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 11, 2013
Last updated in NPPESJune 20, 2022
Certification dateJune 20, 2022
Mailing address100 Michigan St Ne, 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 2011 (15 years in practice)
Group practice Pennock Hospital — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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