Individual provider Active NPI

Leah Wigent

  • Gerontology Nurse Practitioner
  • Newaygo, MI
National Provider Identifier
1154035046
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
4704383523 Issued in MI
Practice address
211 W Pine Lake Dr
Newaygo, MI 49337-8029
Phone
(231) 652-1631
NPI assigned
Jan 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 4704383523 MI Primary

Addresses

Primary practice location

211 W Pine Lake Dr
Newaygo, MI 49337-8029

Mailing address

100 Michigan St NE
MC 845
Grand Rapids, MI 49503-2560

Other names 1

  • Leah Bethel Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/
Direct Messaging Address lbethel172140@epic00.shdirect.org

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
I20230110001904 MI Practitioner - Nurse Practitioner 3779953617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baldwin Family Health CareGroup PAC ID 1153215413, shared by 19 NPIs, 35 clinicians

Practice addresses (Care Compare)

11 N Maple St
Grant, MI 49327-7900
Phone (231) 834-0444

1615 Michigan Ave
Baldwin, MI 49304-7984
Phone (231) 876-6527

211 W Pine Lake Dr
Corewell Health Gerber Hospital
Newaygo, MI 49337-8029
Phone (231) 652-1631

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Newaygo County General Hospital Association CurrentSince Nov 10, 2025 Accepting new patients
Newaygo County General Hospital Association CurrentSince Nov 10, 2025 Accepting new patients
Baldwin Family Health Care Past Accepting new patients

Locations

212 S Sullivan Ave
Fremont, MI 49412
Phone (231) 924-1212

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

211 W Pine Lake Dr
Newaygo, MI 49337
Phone (231) 652-1631

Interoperability endpoints

  • Direct secure messaging: lbethel172140@epic00.shdirect.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 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": "1672963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1154035046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE",
            "address_2": "MC 845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W PINE LAKE DR",
            "city": "NEWAYGO",
            "state": "MI",
            "postal_code": "493378029",
            "telephone_number": "231-652-1631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGENT",
        "first_name": "LEAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-06",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704383523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "211 W Pine Lake Dr",
            "city": "Newaygo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493378029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lbethel172140@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "211 W Pine Lake Dr",
            "city": "Newaygo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493378029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "BETHEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newaygo, MI

Sources for this page

Verify at the official NPI Registry.