Active NPI
Lora Rose Hansen, PA
- Physician Assistant
- Byron Center, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601007082
- Practice address
- 7751 Byron Center Ave SW Ste C
Byron Center, MI 49315-8001 - Phone
- (616) 267-0357
- NPI assigned
- Sep 3, 2014
- Last updated
- Oct 5, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601007082 | MI | Primary |
Addresses
Primary practice location
7751 Byron Center Ave SW Ste C
Byron Center, MI 49315-8001
Mailing address
100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/ | ||
| Direct Messaging Address | lhansen3672866@epic00.corewelldirect.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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
550 Cherry St SE
Grand Rapids, MI 49503-4748
Phone (616) 235-7272
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complexcare Medical Group Midwest M PLLC | Physician Assistant | Current | Accepting new patients |
| Cherry Street Services, Inc. | Current | Accepting new patients | |
| Theoria Medical | Physician Assistant | Current | Accepting new patients |
| Cherry Street Services, Inc | Current | Accepting new patients | |
| Cherry Street Health Services | Past | Accepting new patients | |
| Wellbridge of Clarkston, LLC | Past | Accepting new patients |
Locations
5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216
6700 W Outer Dr
Detroit, MI 48235
Phone (313) 836-1700
3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300
100 Cherry St SE
Grand Rapids, MI 49503
Phone (616) 965-8209
550 Cherry St SE
Grand Rapids, MI 49503
Phone (616) 235-7272
331 Meadows Dr
Grayling, MI 49738
Phone (989) 348-2801
2280 Tower Hill Rd
Houghton Lake, MI 48629
Phone (989) 422-5153
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
Interoperability endpoints
- lhansen40075@direct.covenanthealthcare.com
- lora.hansen.p1@direct.cherryhealth.nextgenshare.com
Organizations & group practices 8
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.
-
dba Cherry Street Health Services
- Federally Qualified Health Center (FQHC)
- Grand Rapids, MI
- NPI 1558459164
-
- Internal Medicine Physician
- Novi, MI
- NPI 1528851607
Physician Assistant
-
- Geriatric Medicine (Internal Medicine) Physician
- Bay City, MI
- NPI 1588986996
-
- Internal Medicine Physician
- Bay City, MI
- NPI 1952841264
-
dba Cherry Health - Tri County Middle School
- Federally Qualified Health Center (FQHC)
- Howard City, MI
- NPI 1831955251
-
- Case Management Agency
- Grand Rapids, MI
- NPI 1578979274
-
- Skilled Nursing Facility
- Independence Township, MI
- NPI 1669965299
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Corewell Health Pennock Hospital
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
dba Corewell Health Grand Rapids Hospital
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
-
dba Corewell Health Greenville Hospital
- General Acute Care Hospital
- Greenville, MI
- NPI 1457304495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791158400000",
"number": "1245630698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MICHIGAN ST NE # MC845",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7751 BYRON CENTER AVE SW STE C",
"city": "BYRON CENTER",
"state": "MI",
"postal_code": "493158001",
"telephone_number": "616-267-0357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSEN",
"first_name": "LORA",
"middle_name": "ROSE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-03",
"last_updated": "2026-10-05",
"certification_date": "2026-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601007082",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/",
"affiliation": "N",
"address_1": "7751 Byron Center Ave SW Ste C",
"city": "Byron Center",
"state": "MI",
"country_code": "US",
"postal_code": "493158001",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lhansen3672866@epic00.corewelldirect.org",
"affiliation": "N",
"address_1": "7751 Byron Center Ave SW Ste C",
"city": "Byron Center",
"state": "MI",
"country_code": "US",
"postal_code": "493158001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Byron Center, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; 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.