NPIMap

Individual provider Active NPI

Lauren R Haskin, PA

  • Medical Physician Assistant
  • Grand Rapids, MI
National Provider Identifier
1104293646
Registry record updated Oct 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601007509 Issued in MI
Practice address
3264 N Evergreen Dr NE
Grand Rapids, MI 49525
Phone
(616) 363-7339
NPI assigned
Sep 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2018

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 5601007509 MI Primary

Addresses

Primary practice location

3264 N Evergreen Dr NE
Grand Rapids, MI 49525

Mailing address

3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Phone (616) 363-7339

Other practice location 1

9249 W Lake City Rd
Houghton Lake, MI 48629-9602
Phone (989) 422-5122

Other names 1

  • Lauren Reif Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151006001397 MI Practitioner - Physician Assistant 2062720303 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Radiology Services PCGroup PAC ID 4284546516, 252 clinicians

Practice addresses (Care Compare)

100 Michigan Ave NE
Grand Rapids, MI 49503-2560
Phone (616) 363-7272

1501 W Chisholm St
Alpena, MI 49707-1401
Phone (616) 363-7272

1987 Navaho TRL
Okemos, MI 48864-2721
Phone (616) 363-7272

2039 County Rd
Suite 459
MC Millan, MI 49853-8304
Phone (616) 363-7272

2324 Nurmi Dr
Bay City, MI 48708-6872
Phone (616) 363-7272

2463 S M
Suite 30
West Branch, MI 48661-9312
Phone (616) 363-7272

25044 Hadlock Dr
Novi, MI 48374-2553
Phone (616) 363-7272

300 E Warwick Dr
Alma, MI 48801-1014
Phone (616) 363-7272

3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Phone 61636372721046

4000 Wellness Dr
Midland, MI 48670-2000
Phone (616) 363-7272

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Alpena CurrentSince Jun 1, 2021 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Apr 1, 2021 Accepting new patients
Mymichigan Medical Group CurrentSince Jun 1, 2021 Accepting new patients
Mymichigan Medical Center Clare CurrentSince May 25, 2022 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Apr 1, 2021 Accepting new patients
Mymichigan Medical Center Alma CurrentSince Jun 1, 2021 Accepting new patients
Mymichigan Medical Center Alma CurrentSince Jun 1, 2021 Accepting new patients

Locations

321 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0957

703 N McEwan St
Clare, MI 48617
Phone (989) 802-5000

700 W 5th St
Clare, MI 48617
Phone (989) 386-9911

602 Beech St
Ste 1100
Clare, MI 48617
Phone (989) 386-9911

609 Quarter St
Gladwin, MI 48624
Phone (989) 246-6371

515 Quarter St
Gladwin, MI 48624
Phone (989) 246-6201

815 N Clare Ave
Harrison, MI 48625
Phone (989) 539-4096

9249 W Lake City Rd
Houghton Lake, MI 48629
Phone (989) 422-2183

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

2618 W Sugnet Rd
Midland, MI 48640
Phone (989) 633-5237

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

Organizations & group practices 11

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 10

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": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538611200000",
    "number": "1104293646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3264 N EVERGREEN DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259746",
            "telephone_number": "616-363-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3264 N EVERGREEN DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49525",
            "telephone_number": "616-363-7339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9249 W Lake City Rd",
            "address_purpose": "LOCATION",
            "city": "Houghton Lake",
            "state": "MI",
            "postal_code": "486299602",
            "country_code": "US",
            "telephone_number": "989-422-5122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASKIN",
        "first_name": "LAUREN",
        "middle_name": "R",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-01",
        "last_updated": "2018-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601007509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "REIF",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.