Grace Louise Colson, PNP-AC
Individual provider Active NPI Acute Care Nurse Practitioner · Zeeland, MI
NPI 1003487224 · NPPES record last updated Jun 19, 2024
Key facts
- NPI
- 1003487224
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 4704340145 (MI)
- Practice address
- 8333 Felch St
Zeeland, MI 49464-2608 - Phone
- (616) 772-7530
- NPI assigned
- Jul 8, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230522003153 | MI | Practitioner - Nurse Practitioner | 7113323379 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Interoperability endpoints
- direct@direct.bronsonhg.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 4704340145 | MI | |
| Acute Care Nurse Practitioner | 363LA2100X | 4704340145 | MI | Yes |
Addresses
Primary practice location
8333 Felch St
Zeeland, MI 49464-2608
Mailing address
100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) | |
| Direct Messaging Address | direct@direct.bronsonhg.org | Direct | Bronson HealthCare Group |
Other providers in Zeeland, MI
- City on a Hill Ministries
- Brooke Leanne Clifton
- Brittany Marie Cline
- Gary Hayes Coller
- Lilliana G Collins
- Abigail Colvin
- Elizabeth Ann Colvin
- Sarah Colvin
- Comfort Family Dentistry of Zeeland
- Compression Care Inc
All providers in Zeeland, MI · Acute Care Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.