Individual provider Active NPI

Tina Layne Gastmeier, PA

  • Physician Assistant
  • Reed City, MI
National Provider Identifier
1033680467
Registry record updated Dec 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601008729 Issued in MI
Practice address
4499 220TH Ave
Reed City, MI 49677-8593
Phone
(231) 832-5817
NPI assigned
Dec 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2018

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 5601008729 MI Primary

Addresses

Primary practice location

4499 220TH Ave
Reed City, MI 49677-8593

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

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
I20190115002172 MI Practitioner - Physician Assistant 6002152832 Reassigns benefits to 1 organization

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
Henry Ford Semi Medical GroupGroup PAC ID 0648180406, shared by 4 NPIs, 246 clinicians
Henry Ford Health St. John HospitalGroup PAC ID 3173424082, 332 clinicians

Practice addresses (Care Compare)

17900 23 Mile Rd
Macomb, MI 48044-1161
Phone (313) 647-3900

1901 Star Batt Dr
Rochester Hills, MI 48309-3767
Phone (248) 844-4000

22101 Moross Rd
Detroit, MI 48236-2148
Phone (586) 753-0011

24911 Little Mack Ave
St CLR Shores, MI 48080-3200
Phone (586) 777-2050

4014 River Rd
Suite 1
East China, MI 48054-2916
Phone (810) 326-1229

Hospital & facility affiliations

  • Henry Ford Health St John Hospital Hospital, Detroit, MI, CCN 230165
  • Ascension River District Hospital Hospital, East China, MI, CCN 230241
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital CurrentSince Dec 7, 2019 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Dec 7, 2019 Accepting new patients

Locations

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

4014 S River Rd
Ste 1
East China, MI 48054
Phone (810) 326-1229

19229 Mack Ave
Ste 34
Grosse Pointe Woods, MI 48236
Phone (313) 647-3245

1901 Star Batt Dr
Ste 100C
Rochester Hills, MI 48309
Phone (248) 844-4000

1901 Star Batt Dr
Rochester Hills, MI 48309
Phone (248) 650-4580

Interoperability endpoints

  • Direct secure messaging: tgastmeier654635@direct.hfhs.org
  • Direct secure messaging: tgastmeier1129748@direct.hfhs.org

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544486400000",
    "number": "1033680467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4499 220TH AVE",
            "city": "REED CITY",
            "state": "MI",
            "postal_code": "496778593",
            "telephone_number": "231-832-5817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASTMEIER",
        "first_name": "TINA",
        "middle_name": "LAYNE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-11",
        "last_updated": "2018-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601008729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reed City, MI

Sources for this page

Verify at the official NPI Registry.