Individual provider Active NPI

Payton Marsh, PA-C

  • Physician Assistant
  • Wyoming, MI
National Provider Identifier
1013524404
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601010203 Issued in MI
Practice address
2060 Health Dr SW
Wyoming, MI 49519-9687
Phone
(616) 333-1200
NPI assigned
Sep 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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 5601010203 MI Primary

Addresses

Primary practice location

2060 Health Dr SW
Wyoming, MI 49519-9687

Mailing address

7068 S Cannon Place Dr
Rockford, MI 49341-8185
Phone (616) 581-9191

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
I20201008002765 MI Practitioner - Physician Assistant 7810317039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Rehab Consultants LLCGroup PAC ID 7810184892, 162 clinicians

Practice addresses (Care Compare)

1400 N Drake Rd
Kalamazoo, MI 49006-1978
Phone (269) 381-8837

1530 McLaughlin Ave
Muskegon, MI 49442-4191
Phone (312) 635-0973

2318 Gull Rd
Suite a
Kalamazoo, MI 49048-3619
Phone (312) 635-0973

Merit-based Incentive Payment System (MIPS)

Final score
79.28 of 100Reported as group
Quality
73.83
Improvement activities
40
Cost
45.57

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehab Consultants LLC CurrentSince Sep 15, 2020 Accepting new patients

Locations

5005 Cascade Rd SE
Ste C
Grand Rapids, MI 49546
Phone (616) 940-0878

2320 E Beltline Ave SE
Grand Rapids, MI 49546
Phone (616) 949-3000

3600 Fulton St E
Grand Rapids, MI 49546
Phone (616) 949-4971

828 E Washington St
Greenville, MI 48838
Phone (616) 754-7186

2053 S Sheridan Dr
Muskegon, MI 49442
Phone (231) 329-3012

2060 Health Dr SW
Wyoming, MI 49519
Phone (616) 333-1200

Organizations & group practices 2

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": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1013524404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7068 S CANNON PLACE DR",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493418185",
            "telephone_number": "616-581-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 HEALTH DR SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199687",
            "telephone_number": "616-333-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSH",
        "first_name": "PAYTON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601010203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

Verify at the official NPI Registry.