Elissa Ridgeway, P.A.C.
NPI 1235354028 · Physician Assistant · Detroit, MI
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elissa Ridgeway, P.A.C. is a Physician Assistant provider in Detroit, MI (NPI 1235354028).
Provider details
- NPI number
- 1235354028
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.C.
- Sex
- Female
- Sole proprietor
- No
- License
- 5601004581 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-04-16
- Last updated
- 2021-02-19
- Certified
- 2021-02-19
Frequently asked questions
- What is Elissa Ridgeway's NPI number?
- Elissa Ridgeway's National Provider Identifier (NPI) is 1235354028, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elissa Ridgeway's specialty?
- Elissa Ridgeway is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Elissa Ridgeway located?
- Elissa Ridgeway's practice location on file with NPPES is 2799 W Grand Blvd, Detroit, MI 48202-2608.
- What is Elissa Ridgeway's phone number?
- The practice phone number listed in the NPPES registry for Elissa Ridgeway is (313) 916-3037.
- Does Elissa Ridgeway accept Medicare?
- Elissa Ridgeway is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Elissa Ridgeway's NPI active?
- Yes — Elissa Ridgeway's NPI (1235354028) is active in the NPPES registry as of the last update on 2021-02-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.