Julie A Anderson, PA-C

Individual provider Active NPI Surgical Physician Assistant · Muskegon, MI

NPI 1114990447 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1114990447
Entity type
Individual (NPI type 1)
Primary specialty
Surgical Physician Assistant 363AS0400X
Practice address
1560 E Sherman Blvd Ste 309
Muskegon, MI 49444-1850
Phone
(231) 672-8643
Fax
(231) 672-8651
NPI assigned
Feb 8, 2006
Sex
Female
Sole proprietor
No

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 1

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

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Partners Sub-Specialty Services (33 clinicians)

Practice addresses (Care Compare)

1277 Mercy Dr
Muskegon, MI 49444-4605
Phone 23167261862

Hospital & facility affiliations

  • Trinity Health Muskegon Hospital Hospital · Muskegon, MI · CCN 230066

Merit-based Incentive Payment System (MIPS)

Final score
97.79 of 100 (group)
Quality
96.38
Improvement activities
40
Cost
77.38

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20040618000658 MI Practitioner - Physician Assistant 4688659311 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Health Primary Care Partners Past Accepting new patients
West Michigan Cardiothoracic Surgeons PLC Past
since Jan 1, 1995
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X Yes

Addresses

Primary practice location

1560 E Sherman Blvd Ste 309
Muskegon, MI 49444-1850

Mailing address

PO Box 1847
Muskegon, MI 49443-1847
Phone (231) 727-4444

Other practice location 1

100 Michigan St NE, MC 103
Suite 8830
Grand Rapids, MI 49503-2560
Phone (616) 459-7258

Other providers in Muskegon, MI

All providers in Muskegon, MI · Surgical Physician Assistant in Michigan

Sources for this page

Verify at the official NPI Registry.