Active NPI
Valeri A. Rusco, PAC
- Surgical Physician Assistant
- Grand Rapids, MI
National Provider Identifier
1225193253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Practice address
- 230 Michigan St NE
Suite 300
Grand Rapids, MI 49503-2550 - Phone
- (616) 459-7101
- NPI assigned
- Dec 27, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 5601004845 | MI | |
| Surgical Physician Assistant | 363AS0400X | Primary |
Addresses
Primary practice location
230 Michigan St NE
Suite 300
Grand Rapids, MI 49503-2550
Mailing address
1111 Leffingwell Ave NE
Grand Rapids, MI 49525-6406
Phone (616) 459-7101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00398254 | Other | MI | RAILROAD MEDICARE |
Other names 1
- Valeri A. Martin
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Care Specialists PC | Past | Accepting new patients | |
| Orthopaedic Associates of Grand Rapids, PC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Grand Rapids, MI
- NPI 1093766958
-
- Orthopaedic Surgery Physician
- Grand Rapids, MI
- NPI 1023021300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407283200000",
"number": "1225193253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 LEFFINGWELL AVE NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495256406",
"telephone_number": "616-459-7101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 MICHIGAN ST NE",
"address_2": "SUITE 300",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032550",
"telephone_number": "616-459-7101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSCO",
"first_name": "VALERI",
"middle_name": "A.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2014-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MI",
"license": "5601004845",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00398254",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VALERI",
"last_name": "MARTIN",
"middle_name": "A.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.