Individual provider Active NPI

Micah Nahum Foster, PA-C

  • Physician Assistant
  • Wyoming, MI
National Provider Identifier
1013472695
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601008858 Issued in MI
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

Updated by the provider on Mar 19, 2026

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190301001808 MI Practitioner - Physician Assistant 0345589750 Reassigns benefits to 4 organizations

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
Patient One Care, PLLCGroup PAC ID 1658653860, 12 clinicians
Salubrious Health PLLCGroup PAC ID 6507225992, 10 clinicians

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

LicenseStateTypeSpecialty
5601008858MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Salubrious Health PLLC CurrentSince Jan 1, 2026 Accepting new patients
Patient One Care PLLC CurrentSince Jan 1, 2026 Accepting new patients
Patient One Care, PLLC CurrentSince Jan 1, 2026 Accepting new patients
Emmanuel Hospice PastSince Jun 1, 2021 Accepting new patients
VR Therapy and Counseling Center, LLC PastSince Dec 20, 2015 Accepting new patients
Entropy Health, PLLC PastSince Jul 9, 2025 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDGEDD/Endpoint/FDGEDD
  • FHIR API: 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.

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

Verify at the official NPI Registry.