Individual provider Active NPI

Rebecca Sue Steenwyk

  • Physician Assistant
  • Norton Shores, MI
National Provider Identifier
1144819848
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601010337 Issued in MI
Practice address
3570 Henry St Ste 220
Norton Shores, MI 49441-4576
Phone
(231) 672-3155
Fax
(231) 672-3157
NPI assigned
Jan 16, 2021
Last updated
Dec 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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 5601010337 MI Primary

Addresses

Primary practice location

3570 Henry St Ste 220
Norton Shores, MI 49441-4576

Mailing address

PO Box 1848
Muskegon, MI 49443-1848
Phone (231) 672-2119

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rsteenwyk693134@direct.trinity-health.org Direct

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
I20210201000816 MI Practitioner - Physician Assistant 4880008937 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Physician NetworkGroup PAC ID 8921996307, 109 clinicians

Practice addresses (Care Compare)

2006 Holton Rd
Muskegon, MI 49445-1505
Phone (231) 672-3333

3570 Henry St
Norton Shores, MI 49441-4576

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Physician Network Physician Assistant CurrentSince Nov 1, 2021 Accepting new patients

Locations

2006 Holton Rd
North Muskegon, MI 49445
Phone (231) 672-3333

3570 Henry St
Ste 220
Norton Shores, MI 49441
Phone (231) 672-3155

Interoperability endpoints

  • Direct secure messaging: rsteenwyk693134@direct.trinity-health.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1610755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1144819848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1848",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494431848",
            "telephone_number": "231-672-2119",
            "fax_number": "313-432-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 HENRY ST STE 220",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494414576",
            "telephone_number": "231-672-3155",
            "fax_number": "231-672-3157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEENWYK",
        "first_name": "REBECCA",
        "middle_name": "SUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-16",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601010337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rsteenwyk693134@direct.trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "Mercy Health Norton Shores Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "3570 Henry St Ste 220",
            "city": "Norton Shores",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494414576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Norton Shores, MI

Sources for this page

Verify at the official NPI Registry.