Individual provider Active NPI

Rachel Diane Sather Gerleman, PA

  • Physician Assistant
  • Grand Rapids, MI
National Provider Identifier
1306557640
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601011127 Issued in MI
Practice address
100 Cherry St SE
Grand Rapids, MI 49503-4526
Phone
(616) 965-8209
NPI assigned
Dec 7, 2022
Last updated
Sep 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601011127 MI Primary

Addresses

Primary practice location

100 Cherry St SE
Grand Rapids, MI 49503-4526

Mailing address

3649 Jolly Oak Rd Unit B1109
Okemos, MI 48864-2563
Phone (218) 839-9466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, NM2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230214000760 MI Practitioner - Physician Assistant 9739551169 Reassigns benefits to 1 organization
I20260319001120 NM Practitioner - Physician Assistant 9739551169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Wake Forest University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amador Health Center, Inc.Group PAC ID 0244501633, 9 clinicians

Practice addresses (Care Compare)

999 W Amador Ave a
Las Cruces, NM 88005-2739
Phone (575) 527-5482

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Amador Health Center, Inc. CurrentSince Feb 10, 2026 Accepting new patients
Amador Health Center, Inc. CurrentSince Feb 10, 2026 Accepting new patients
Cherry Street Services, Inc CurrentSince Oct 1, 2024 Accepting new patients
Cherry Street Services, Inc. Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Essent PRMC LP Past Accepting new patients

Locations

100 Cherry St SE
Grand Rapids, MI 49503
Phone (616) 965-8209

550 Cherry St SE
Grand Rapids, MI 49503
Phone (616) 235-7272

999 W Amador Ave
Ste A
Las Cruces, NM 88005
Phone (575) 527-5482

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1306557640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3649 JOLLY OAK RD UNIT B1109",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488642563",
            "telephone_number": "218-839-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CHERRY ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034526",
            "telephone_number": "616-965-8209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERLEMAN",
        "first_name": "RACHEL",
        "middle_name": "DIANE SATHER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-07",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601011127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.