Sydney Anne Coldren, PA-C
Individual provider Active NPI Physician Assistant · Lansing, MI
NPI 1093264152 · NPPES record last updated Oct 10, 2025
Key facts
- NPI
- 1093264152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5601008322 (MI)
- Practice address
- 3520 Forest Rd
Lansing, MI 48910-3720 - Phone
- (517) 975-7800
- Fax
- (517) 975-7810
- NPI assigned
- Sep 29, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MI, NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171106000968 | MI | Practitioner - Physician Assistant | 7214293380 | Reassigns benefits to 1 organization |
| I20191115002663 | NC | Practitioner - Physician Assistant | 7214293380 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020189 | NY | MD | Occupational Therapist |
| 0010-09483 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest University Health Sciences | Current |
Accepting new patients | |
| R&T Medical PC | Past |
Accepting new patients | |
| First Choice Medical PLLC | Past |
Accepting new patients |
Locations
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
Interoperability endpoints
- https://api.platform.athenahealth.com/8524/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601008322 | MI | Yes |
| Physician Assistant | 363A00000X | 020189 | NY | |
| Physician Assistant | 363A00000X | 0010-09483 | NC |
Addresses
Primary practice location
3520 Forest Rd
Lansing, MI 48910-3720
Mailing address
4100 Beecher Rd Ste a
Flint, MI 48532-3661
Phone (810) 342-3813
Other providers in Lansing, MI
- Pamela N. Coffey
- Brandi Coffman
- Michael James Coffman
- Joel M Cohn
- Dorlaina Coil
- Craig E Cole
- Gina Cole
- Lisa Marie Cole
- Collin Colegrove
- Beverly Coleman
All providers in Lansing, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.