Individual provider Active NPI

Aastyn Kerria Guarino, PA-C

  • Medical Physician Assistant
  • Lansing, MI
National Provider Identifier
1013630516
Registry record updated Sep 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601011266 Issued in MI
Practice address
4052 Legacy Pkwy Ste 200
Lansing, MI 48911-4285
Phone
(517) 272-9700
NPI assigned
Sep 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601011266 MI Primary

Addresses

Primary practice location

4052 Legacy Pkwy Ste 200
Lansing, MI 48911-4285

Mailing address

4052 Legacy Pkwy Ste 200
Lansing, MI 48911-4285
Phone (517) 272-9700

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
I20221207003058 MI Practitioner - Physician Assistant 0840669107 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Joshua P June DO Past Accepting new patients
Beals Institute PC PastSince Mar 30, 2006 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: aastyn.peterson.p1@direct.glcor.nextgenshare.com

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": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696032000000",
    "number": "1013630516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4052 LEGACY PKWY STE 200",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114285",
            "telephone_number": "517-272-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4052 LEGACY PKWY STE 200",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114285",
            "telephone_number": "517-272-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUARINO",
        "first_name": "AASTYN",
        "middle_name": "KERRIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2023-09-30",
        "certification_date": "2023-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601011266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.