LISA VAN DORP PA
NPI 1407227820
Physician Assistant - Surgical in Midland, MI
NPI Status: Active since October 12, 2015
- Individual
- Female
- Physician Assistant
- Surgical
- Accepts Insurance
- PECOS Enrolled
About LISA VAN DORP
This page provides the complete NPI Profile along with additional information for Lisa Van Dorp, a provider established in Midland, Michigan with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1407227820 assigned on October 2015. The practitioner's primary taxonomy code is 363AS0400X with license number 5601007489 (MI). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1407227820
- Provider Name
- LISA VAN DORP PA
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4000 WELLNESS DR MIDLAND, MI 48670
- Location Phone
- (989) 839-3000
- Mailing Address
- 5802 S HERITAGE CT MIDLAND, MI 48640
- Mailing Phone
- (586) 917-8237
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-12-2015
- Last Update Date
- 11-06-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 5601007489
- License State
- MI
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Cross� Preferred HMO Bronze Extra - HMO
- Blue Cross� Preferred HMO Bronze Saver HSA - HMO
- Blue Cross� Preferred HMO Bronze Secure - HMO
- Blue Cross� Preferred HMO Gold - HMO
- Blue Cross� Preferred HMO Gold Extra - HMO
- Blue Cross� Preferred HMO Silver - HMO
- Blue Cross� Preferred HMO Silver Extra - HMO
- Blue Cross� Preferred HMO Silver Saver - HMO
- Blue Cross� Preferred HMO Value - HMO
- Blue Cross� Select HMO Bronze Extra - HMO
- Blue Cross� Select HMO Bronze Saver HSA - HMO
- Blue Cross� Select HMO Bronze Secure - HMO
- Blue Cross� Select HMO Silver - HMO
- Blue Cross� Select HMO Silver Extra - HMO
- Blue Cross� Select HMO Silver Saver - HMO
- Blue Cross� Select HMO Value - HMO
- Blue Cross� Premier PPO Bronze Extra - PPO
- Blue Cross� Premier PPO Bronze HSA - PPO
- Blue Cross� Premier PPO Bronze Secure - PPO
- Blue Cross� Premier PPO Gold - PPO
- Blue Cross� Premier PPO Gold Extra - PPO
- Blue Cross� Premier PPO Silver - PPO
- Blue Cross� Premier PPO Silver Extra - PPO
- Blue Cross� Premier PPO Silver Saver HSA - PPO
- Blue Cross� Premier PPO Value - PPO
- Bronze First - HMO
- Bronze First Adult Vision & Fitness - HMO
- Diabetes Gold - HMO
- Diabetes Gold Adult Vision & Fitness - HMO
- Diabetes Silver - HMO
- Diabetes Silver Adult Vision & Fitness - HMO
- Gold - HMO
- Gold Adult Vision & Fitness - HMO
- HDHP Preventive Silver - HMO
- Healthy Heart Gold - HMO
- Healthy Heart Gold Adult Vision & Fitness - HMO
- Healthy Heart Silver - HMO
- Healthy Heart Silver Adult Vision & Fitness - HMO
- Low Premium Silver - HMO
- Low Premium Silver Adult Vision & Fitness - HMO
- Silver - HMO
- Silver Adult Vision & Fitness - HMO
- MyPriority Balanced Silver - HMO
- MyPriority Premier Silver - HMO
- MyPriority Standard Bronze - HMO
- MyPriority Standard Bronze - Travel - HMO
- MyPriority Standard Gold - HMO
- MyPriority Standard Silver - HMO
- MyPriority Standard Silver - Travel - HMO
- MyPriority Value Bronze - HMO
- MyPriority Value Bronze HSA - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Lisa Van Dorp is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for LISA VAN DORP PA
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 0 | 7 | 2 | 2 | 7 | 8 | 2 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 0 | 7 | 4 | 2 | 14 | 8 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 0 + 7 + 4 + 2 + 1 + 4 + 8 + 4 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1407227820 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1770529158 | RAJESH KOTECHA MD Individual | Radiology (Radiation Oncology) | 4000 WELLNESS DR MIDLAND, MI 48670 (989) 839-1339 |
| 1811924566 | RAJNIKANT MEHTA MD Individual | Radiology (Radiation Oncology) | 4000 WELLNESS DR MIDLAND, MI 48670 (989) 839-1339 |
| 1912924903 | TIMOTHY BERKA MD Individual | Radiology (Diagnostic Radiology) | 4000 WELLNESS DR MIDLAND, MI 48670 (989) 839-3408 |
| 1174540181 | VINCENT DIMERC MD Individual | Radiology (Diagnostic Radiology) | 4000 WELLNESS DR MIDLAND, MI 48670 (989) 839-3408 |
| 1952321986 | JEFFREY HERMAN MD Individual | Radiology (Diagnostic Radiology) | 4000 WELLNESS DR MIDLAND, MI 48670 (989) 839-3408 |
| 1124048160 | STEPHEN PAVLOCK MD Individual | Radiology (Diagnostic Radiology) | 4000 WELLNESS DR MIDLAND, MI 48670 (989) 839-3408 |
| 1730109752 | MICHAEL P BARTLETT MD Individual | Radiology (Neuroradiology) | 4000 WELLNESS DR MIDLAND, MI 48670 (989) 839-3408 |
| 1407882624 | EAST CENTRAL RADIATION ONCOLOGY ASSOCIATES PC Organization | Radiology (Radiation Oncology) | 4000 WELLNESS DR MIDLAND, MI 48670 (989) 839-1339 |
| 1205275831 | HOLLIE CALDWELL CRNA Individual | Nurse Anesthetist, Certified Registered | 4000 WELLNESS DR MIDLAND, MI 48670 (989) 839-3639 |
| 1275846230 | FAWAZ ALSMAAN MD Individual | Internal Medicine | 4000 WELLNESS DR MIDLAND, MI 48670 (989) 839-1644 |
| 1548589237 | LIZBETH MARIE HINGST DO Individual | Internal Medicine | 4000 WELLNESS DR MIDLAND, MI 48670 (989) 839-1644 |
| 1760811392 | JODIE RISNES Individual | Nurse Practitioner | 4000 WELLNESS DR MIDLAND, MI 48670 (989) 839-1644 |
| 1639193154 | GREG M KLEYNBERG MD Individual | Anesthesiology | 4000 WELLNESS DR MIDLAND, MI 48670 (989) 839-3606 |
| 1528493467 | ALISON C SMITH PA Individual | Physician Assistant | 4000 WELLNESS DR MIDLAND, MI 48670 (989) 839-1644 |
| 1588663207 | DARCEY G COX D.O. Individual | Anesthesiology | 4000 WELLNESS DR MIDLAND, MI 48670 (989) 839-3000 |
| 1871804252 | QUEROBIN MEDRANO CALVAN JR. MD Individual | Family Medicine | 4000 WELLNESS DR MIDLAND, MI 48670 (989) 633-8000 |
| 1568764207 | ZAINEB ALANI MD Individual | Internal Medicine | 4000 WELLNESS DR MIDLAND, MI 48670 (989) 839-1644 |
| 1972684330 | SEAN K KESTERSON MD Individual | Internal Medicine | 4000 WELLNESS DR MIDLAND, MI 48670 (989) 839-1644 |
| 1194115196 | GHAZWAN JABRI Individual | Internal Medicine | 4000 WELLNESS DR MIDLAND, MI 48670 (989) 839-1644 |
| 1124382353 | DR. ZACHARY J SAWAYA M.D. Individual | Emergency Medicine | 4000 WELLNESS DR MIDLAND, MI 48670 (989) 839-3000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407227820, enumerated in the NPI registry as an "individual" on October 12, 2015
The provider is located at 4000 Wellness Dr Midland, Mi 48670 and the phone number is (989) 839-3000
The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical
The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
This NPI record was last updated on October 12, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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