Jason Dipman, AA-C
NPI 1053694976ActiveIndividual· Anesthesiologist Assistant· Grand Rapids, MI
Anesthesiologist Assistant (AA-C) in Grand Rapids, Michigan, licensed in MI and MO, with an NPI issued in September 2011. Medicare paid $7,935 for services to 114 patients in 2024. Lists University of Michigan Health - West as a hospital affiliation.
Overview
| NPI | 1053694976 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AA-C |
| Sole proprietor | Yes |
| NPI issued | Sep 27, 2011 |
| Last updated in NPPES | Dec 13, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiologist Assistant Primary | 367H00000X | 1227 | MI |
| Specialist | 174400000X | 2011032475 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 114 |
|---|---|
| Services billed | 114 across 27 procedure codes |
| Paid by Medicare | $7,935 |
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Anesthesiology Assistant |
Hospital affiliation
- University of Michigan Health - WestWyoming, MI
Other Anesthesiologist Assistant providers in Grand Rapids
- 1811541774
- 1164719449
- 1629250162
- 1700999513
- 1578166542
- 1841796752
- 1134645963
- 1922790781
- 1285747378
- 1003049164
- 1336403823
- 1841886553