Individual provider Active NPI

Kayla Elizabeth Kent, PA-C, AT, ATC

  • Physician Assistant
  • Chesterfield, MI
National Provider Identifier
1295271005
Registry record updated Oct 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601010870 Issued in MI
Practice address
28761 Stonehenge Dr
Chesterfield, MI 48047-3783
Phone
(586) 413-2328
NPI assigned
Jan 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Physician Assistant 363A00000X 5601010870 MI Primary

Addresses

Primary practice location

28761 Stonehenge Dr
Chesterfield, MI 48047-3783

Mailing address

401 W Greenlawn Ave
Lansing, MI 48910-2819
Phone (586) 321-6750

Other names 1

  • Kayla Elizabeth Boehm Former name

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
I20211115001524 MI Practitioner - Physician Assistant 5395134258 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Hospital GroupGroup PAC ID 2365968351, 366 clinicians
McLaren Greater LansingGroup PAC ID 7214833466, 96 clinicians

Practice addresses (Care Compare)

1004 E Michigan Ave
Lansing, MI 48912-1809
Phone (517) 364-9790

1015 Charlevoix Dr
Grand Ledge, MI 48837-2278
Phone (517) 627-0100

2682 E Grand River Ave
East Lansing, MI 48823-5608

2900 Collins Rd
Lansing, MI 48910-8394
Phone (517) 975-7500

800 E Columbia St
Mason, MI 48854-1381

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Hospital Group CurrentSince Jan 1, 2026 Accepting new patients
Sparrow Carson Hospital CurrentSince Dec 21, 2024 Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Jan 1, 2023 Accepting new patients
Sparrow Carson Hospital CurrentSince Dec 21, 2024 Accepting new patients
Sparrow Ionia Hospital CurrentSince Dec 21, 2024 Accepting new patients
McLaren Greater Lansing Physician Assistant CurrentSince Nov 15, 2021 Accepting new patients
McLaren Greater Lansing CurrentSince Nov 15, 2021 Accepting new patients
Edward W. Sparrow Hospital Association Past Accepting new patients
Mid-Michigan Physicians, PC Physician Assistant Past Accepting new patients
McLaren Greater Lansing Past Accepting new patients
Sparrow Ionia Hospital Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

1014 E Washington St
Greenville, MI 48838
Phone (616) 754-7145

550 E Washington St
#1
Ionia, MI 48846

550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600

1004 E Michigan Ave
Lansing, MI 48912
Phone (517) 364-9790

2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

716 N Clippert St
Lansing, MI 48912
Phone (517) 253-4000

800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900

2111 University Park Dr
Okemos, MI 48864
Phone (517) 336-4335

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

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": "1484697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634860800000",
    "number": "1295271005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 W GREENLAWN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489102819",
            "telephone_number": "586-321-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28761 STONEHENGE DR",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480473783",
            "telephone_number": "586-413-2328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENT",
        "first_name": "KAYLA",
        "middle_name": "ELIZABETH",
        "credential": "PA-C, AT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-18",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601010870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "BOEHM",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chesterfield, MI

Sources for this page

Verify at the official NPI Registry.