Active NPI
Micah Nahum Foster, PA-C
- Physician Assistant
- Wyoming, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601008858
- Practice address
- 4050 Del Mar Dr SW Ste C
Wyoming, MI 49418-8870 - Phone
- (616) 317-4807
- NPI assigned
- Feb 7, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601008858 | MI | Primary |
Addresses
Primary practice location
4050 Del Mar Dr SW Ste C
Wyoming, MI 49418-8870
Mailing address
4050 Del Mar Dr SW Ste C
Wyoming, MI 49418-8870
Phone (616) 317-4807
Other practice location 1
80 68th St SE
Grand Rapids, MI 49548-6980
Phone (616) 391-8242
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1740 28TH St SE
Grand Rapids, MI 49508-1414
Phone (616) 323-3999
91 Douglas Ave
Suite 110
Holland, MI 49424-2183
Phone (616) 298-8124
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601008858 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salubrious Health PLLC | Current | Accepting new patients | |
| Patient One Care PLLC | Current | Accepting new patients | |
| Patient One Care, PLLC | Current | Accepting new patients | |
| Emmanuel Hospice | Past | Accepting new patients | |
| VR Therapy and Counseling Center, LLC | Past | Accepting new patients | |
| Entropy Health, PLLC | Past | Accepting new patients |
Locations
1740 28th St SE
Grand Rapids, MI 49508
Phone (616) 200-8669
2871 44th St SW
Grandville, MI 49418
Phone (616) 410-7420
91 Douglas Ave
Ste 110
Holland, MI 49424
Phone (616) 298-8124
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FDGEDD/Endpoint/FDGEDD
- https://fhir4.healow.com/fhir/r4/FDGEDD
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.
-
- Urgent Care Clinic/Center
- Grand Rapids, MI
- NPI 1770934325
-
- Family Medicine Physician
- Holland, MI
- NPI 1609562800
-
- Urgent Care Clinic/Center
- Grand Rapids, MI
- NPI 1770041782
-
- Urgent Care Clinic/Center
- Jenison, MI
- NPI 1255178695
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Grand Rapids, MI
- NPI 1851187652
-
- Family Medicine Physician
- Wyoming, MI
- NPI 1437923539
-
- Clinical Social Worker
- Grand Rapids, MI
- NPI 1407252232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773878400000",
"number": "1013472695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4050 DEL MAR DR SW STE C",
"city": "WYOMING",
"state": "MI",
"postal_code": "494188870",
"telephone_number": "616-317-4807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4050 DEL MAR DR SW STE C",
"city": "WYOMING",
"state": "MI",
"postal_code": "494188870",
"telephone_number": "616-317-4807"
}
],
"practiceLocations": [
{
"address_1": "80 68th St SE",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495486980",
"country_code": "US",
"telephone_number": "616-391-8242",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOSTER",
"first_name": "MICAH",
"middle_name": "NAHUM",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-07",
"last_updated": "2026-03-19",
"certification_date": "2026-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601008858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wyoming, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.