Kaleigh Waldron, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601006911 Issued in MI

Practice address

1202 W Oak St
Greenville, MI 48838-2155

Phone

(616) 754-2944

Fax

(616) 754-2999

NPI assigned

Jan 20, 2014

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

Electronic endpoints 2

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spectrum Health UnitedGroup PAC ID 6305836487, 90 clinicians

Pennock HospitalGroup PAC ID 4587551015, 79 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Spectrum Health United Hospital Hospital, Greenville, MI, CCN 230035

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kwaldron102853@epic00.shdirect.org
• Direct secure messaging: kwaldron102853@epic00.corewelldirect.org

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.

• Pennock Hospital

  • Family Medicine Physician
  • Hastings, MI
  • NPI 1518186295
  Medicare reassignment Care Compare group NPD
• Spectrum Health United

  • General Acute Care Hospital
  • Greenville, MI
  • NPI 1457304495
  Medicare reassignment Care Compare group
• Advantage Health/Saint Mary'S Medical Group

  • Multi-Specialty Clinic/Center
  • Grand Rapids, MI
  • NPI 1376862151
  Medicare reassignment
• Isabella Urgent Care, PLLC

  • Urgent Care Clinic/Center
  • Mt Pleasant, MI
  • NPI 1558765347
  Medicare reassignment
• Spectrum Health United

  • Family Medicine Physician
  • Greenville, MI
  • NPI 1063781342
  NPD
• Carson City Center for Women'S Healthcare PC

  • Obstetrics & Gynecology Physician
  • Carson City, MI
  • NPI 1396852976
  NPD (past)

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

• 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": "1390176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1376965749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE",
            "address_2": "MC 845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 W OAK ST",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488382155",
            "telephone_number": "616-754-2944",
            "fax_number": "616-754-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDRON",
        "first_name": "KALEIGH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-20",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601006911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwaldron102853@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "1202 W Oak St",
            "city": "Greenville",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488382155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1202 W Oak St",
            "city": "Greenville",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488382155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeffrey Alan Vonseggern, O.D.
• Erica Vruggink
• Payton Lane Waclawski
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Walgreen Co
• Bennett S Walstatter, MD
• Elizabeth Brie Walter-Rooks, LLMSW
• Stacy Ward, RN
• Waynette Wasano-Jones, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.