Phelan Wolf Frush, CAA
NPI 1922790781ActiveIndividual· Anesthesiologist Assistant· Grand Rapids, MI
Anesthesiologist Assistant (CAA) in Grand Rapids, Michigan, licensed in MI, with an NPI issued in May 2023. Medicare paid $8,687 for services to 71 patients in 2024.
Overview
| NPI | 1922790781 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CAA |
| Sole proprietor | Yes |
| NPI issued | May 22, 2023 |
| Last updated in NPPES | Jan 4, 2024 |
| Certified by provider | Jan 4, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiologist Assistant Primary | 367H00000X | 789789850 | MI |
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 | 71 |
|---|---|
| Services billed | 71 across 36 procedure codes |
| Paid by Medicare | $8,687 |
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