Andria Keusch, P.A.C.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601003219 Issued in MI

Practice address

650 Linden St
Suite 1
Big Rapids, MI 49307-1879

Phone

(231) 796-3200

Fax

(231) 796-5562

NPI assigned

Jul 19, 2006

Last updated

Feb 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

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

Specialty

Physician Assistant

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mecosta County Medical CenterGroup PAC ID 1951215540, 53 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Corewell Health Big Rapids Hospital Hospital, Big Rapids, MI, CCN 230093
• Corewell Health Reed City Hospital Hospital, Reed City, MI, CCN 231323

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: akeusch6868@epic00.corewelldirect.org
• Direct secure messaging: akeusch6868@epic00.shdirect.org

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.

• Mecosta County Medical Center

  dba Spectrum Health Big Rapids Hospital

  • Cardiovascular Disease Physician
  • Big Rapids, MI
  • NPI 1386693471
  Medicare reassignment Care Compare group
• Mecosta County Medical Center

  dba Corewell Health Big Rapids Hospital

  • General Acute Care Hospital
  • Big Rapids, MI
  • NPI 1316945991
  NPD
• Mecosta County Medical Center

  dba Corewell Health Big Rapids Hospital Professional

  • Surgery Physician
  • Big Rapids, MI
  • NPI 1508146457
  NPD
• Mecosta County Medical Center

  dba Corewell Health Big Rapids Hospital Professional

  • Family Medicine Physician
  • Big Rapids, MI
  • NPI 1366730566

  Physician Assistant

  NPD (past)

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

• Mecosta County Medical Center

  dba Corewell Health Big Rapids Hospital

  • General Acute Care Hospital
  • Big Rapids, MI
  • NPI 1316945991
  Care Compare affiliation
• Reed City Hospital Corporation

  dba Corewell Health Reed City Hospital

  • Critical Access Hospital
  • Reed City, MI
  • NPI 1437259843
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1225057409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 LINDEN ST",
            "address_2": "SUITE 1",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493071879",
            "telephone_number": "231-796-3200",
            "fax_number": "231-796-5562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 LINDEN ST",
            "address_2": "SUITE 1",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493071879",
            "telephone_number": "231-796-3200",
            "fax_number": "231-796-5562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEUSCH",
        "first_name": "ANDRIA",
        "credential": "P.A.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "akeusch6868@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "650 Linden St",
            "address_2": "Suite 1",
            "city": "Big Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493071879",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "650 Linden St",
            "address_2": "Suite 1",
            "city": "Big Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493071879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mark Donald Kelley, FNP-BC
• Michelle Kelly, PHARMD
• Jacob McClure Kennard
• Katrina Kent
• Christopher W Kesting, CRNA
• Christa Keys
• Rawan Khanafer
• Daniel Michael Killian, CNP
• Tyler Kime, PHARM.D.
• Thomas Francis Klimek, OD

• Physician Assistant in Big Rapids, MI
• Providers in Big Rapids, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.