Lindsey Burrell
Individual provider Active NPI Physician Assistant · Walker, MI
NPI 1174934145 · NPPES record last updated Feb 28, 2017
Key facts
- NPI
- 1174934145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5601006929 (MI)
- Practice address
- 933 3 Mile Rd NW
Suite 210
Walker, MI 49544-1673 - Phone
- (616) 685-8150
- Fax
- (616) 785-0238
- NPI assigned
- May 13, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Advantage Health/Saint Mary'S Medical Group
Practice addresses (Care Compare)
10047 Crossroad CT SE
Caledonia, MI 49316-7316
Phone (616) 685-8850
220 Cherry St SE
Grand Rapids, MI 49503-4608
Phone (616) 685-5050
250 Cherry St SE
Grand Rapids, MI 49503-4608
Phone (616) 685-5600
Hospital & facility affiliations
- Mercy Health Saint Mary'S
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140605000367 | MI | Practitioner - Physician Assistant | 6800010240 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Health Saint Mary'S Medical Group | Physician Assistant | Current |
Accepting new patients |
| Metropolitan Hospital | Current |
Accepting new patients | |
| Advantage Health Saint Mary'S Medical Group | Past | Accepting new patients | |
| Metropolitan Enterprises Inc. | Physician Assistant | Past | Accepting new patients |
Locations
10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850
4200 Division Ave N
Comstock Park, MI 49321
Phone (616) 252-1600
245 Cherry St SE
Ste 200
Grand Rapids, MI 49503
Phone (616) 685-3330
933 3 Mile Rd NW
Ste 210
Walker, MI 49544
Phone (616) 685-7985
5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601006929 | MI | Yes |
Addresses
Primary practice location
933 3 Mile Rd NW
Suite 210
Walker, MI 49544-1673
Mailing address
1900 44TH St SE
Kentwood, MI 49508-5008
Other providers in Walker, MI
- Andrew Paul Bringard
- Kelsey Brown
- Stacy Lynn Brown
- Keiran Noelle Buell
- Jacob D Burnside
- Elizabeth Ashley Caliman
- Carlee Campbell
- Jayma Corinne Carney
- Melissa Chesnut
- Belinda Chou
All providers in Walker, 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 Feb 28, 2017. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.