Individual provider Active NPI

Erica J Nyman, PA-C

  • Physician Assistant
  • Grand Rapids, MI
National Provider Identifier
1316071301
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601004259 Issued in MI
Practice address
5005 Cascade Rd SE Ste B
Grand Rapids, MI 49546-8411
Phone
(616) 319-4288
Fax
(616) 426-6991
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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 5601004259 MI Primary

Addresses

Primary practice location

5005 Cascade Rd SE Ste B
Grand Rapids, MI 49546-8411

Mailing address

5005 Cascade Rd SE Ste B
Grand Rapids, MI 49546-8411
Phone (616) 319-4288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2026 through Jan 1, 2028

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 Michigan Ave NE
Grand Rapids, MI 49503-2560

100 Michigan St NE
MC 845
Grand Rapids, MI 49503-2560

8425 Woodland FRST SE
Alto, MI 49302-9010

Hospital & facility affiliations

  • Corewell Health Pennock Hospital Hospital, Hastings, MI, CCN 231339

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pennock Hospital Past Accepting new patients
Brian W Swanton MD PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: enyman60072@epic00.corewelldirect.org

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.

Hospital & facility affiliations 1

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1316071301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 CASCADE RD SE STE B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468411",
            "telephone_number": "616-319-4288",
            "fax_number": "616-426-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 CASCADE RD SE STE B",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468411",
            "telephone_number": "616-319-4288",
            "fax_number": "616-426-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYMAN",
        "first_name": "ERICA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.