Individual provider Active NPI

Michelle Coaster, PA-C

  • Physician Assistant
  • East Lansing, MI
National Provider Identifier
1013039676
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MC004387 Issued in MI
Practice address
2852 Eyde Pkwy
Suite 175
East Lansing, MI 48823-5378
Phone
(517) 333-4600
Fax
(517) 333-4996
NPI assigned
Apr 4, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MC004387 MI Primary

Addresses

Primary practice location

2852 Eyde Pkwy
Suite 175
East Lansing, MI 48823-5378

Mailing address

2852 Eyde Pkwy
Suite 175
East Lansing, MI 48823-5378
Phone (517) 333-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041104000550 MI Practitioner - Physician Assistant 2264495902 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pic Indiana PCGroup PAC ID 3476790239, 143 clinicians
McLaren Hospital GroupGroup PAC ID 2365968351, 366 clinicians

Practice addresses (Care Compare)

1131 M 32
Alpena, MI 49707-8222
Phone (989) 250-1925

1261 N Telegraph Rd
Monroe, MI 48162-3368
Phone (734) 265-9123

3220 W Silver Lake Rd
Fenton, MI 48430-1374
Phone (810) 208-7470

3550 Pine Grove Ave
Port Huron, MI 48060-1944
Phone (810) 242-5139

3570 N US 31
Traverse City, MI 49684-4542
Phone (231) 486-2573

401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MC004387MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Urgent Care of Michigan, PC CurrentSince Mar 27, 2023 Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Mar 27, 2023 Accepting new patients
Hometown Urgent Care of Michigan, P.C. Current Accepting new patients
Sams Physical Therapy PC Past Accepting new patients
Physicians Immediate Care LTD Past Accepting new patients

Locations

1131 M 32 W
Alpena, MI 49707
Phone (989) 250-1925

1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835

3570 N US 31 S
Traverse City, MI 49684
Phone (231) 486-2573

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013039676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2852 EYDE PKWY",
            "address_2": "SUITE 175",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235378",
            "telephone_number": "517-333-4600",
            "fax_number": "517-333-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2852 EYDE PKWY",
            "address_2": "SUITE 175",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235378",
            "telephone_number": "517-333-4600",
            "fax_number": "517-333-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COASTER",
        "first_name": "MICHELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "MC004387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.