Payton Lane Waclawski

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601012136 Issued in MI

Practice address

828 E Washington St
Greenville, MI 48838-2056

Phone

(616) 754-7186

NPI assigned

Nov 10, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Spectrum Health Hospital, Grand Rapids, MI, CCN 230038
• Spectrum Health United Hospital Hospital, Greenville, MI, CCN 230035

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Post Acute Medical PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Lanham, MD
  • NPI 1730713025

  MI

  Medicare reassignment Care Compare group
• Altea Medical Michigan PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Plymouth, MI
  • NPI 1053142000
  Medicare reassignment
• LTC Physician Care PC

  • Geriatric Medicine (Family Medicine) Physician
  • Bingham Farms, MI
  • NPI 1841991817
  Medicare reassignment
• Altea Medical Maryland LLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Westminster, MD
  • NPI 1770301277

  MI

  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Pennock Hospital

  • Critical Access Hospital
  • Hastings, MI
  • NPI 1932695525
  Care Compare affiliation
• Spectrum Health Hospitals

  • General Acute Care Hospital
  • Grand Rapids, MI
  • NPI 1922090554
  Care Compare affiliation
• Spectrum Health United

  • General Acute Care Hospital
  • Greenville, MI
  • NPI 1457304495
  Care Compare affiliation

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

{
    "created_epoch": "1699574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1376317339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7581 PINE PARK DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495469131",
            "telephone_number": "616-304-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 E WASHINGTON ST",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488382056",
            "telephone_number": "616-754-7186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7581 Pine Park Dr SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495469131",
            "country_code": "US",
            "telephone_number": "616-304-6629",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30600 Telegraph Rd Ste 1130",
            "address_purpose": "LOCATION",
            "city": "Bingham Farms",
            "state": "MI",
            "postal_code": "480254531",
            "country_code": "US",
            "telephone_number": "248-894-7219",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WACLAWSKI",
        "first_name": "PAYTON",
        "middle_name": "LANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-10",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601012136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth M Verduin, PA-C
• Visiting Nurse Services of Michigan
• Abigail Noel Vivoda, D.C.
• Jeffrey Alan Vonseggern, O.D.
• Erica Vruggink
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Kaleigh Waldron, PA-C
• Walgreen Co
• Bennett S Walstatter, MD

• Physician Assistant in Greenville, MI
• Providers in Greenville, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.

Verify at the official NPI Registry.