Individual provider Active NPI

Rachel Elizabeth Lafrance, PA

  • Physician Assistant
  • Grand Rapids, MI
National Provider Identifier
1396556619
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3210 Eagle Run Dr NE Ste 100
Grand Rapids, MI 49525-7051
Phone
(616) 456-9553
Fax
(616) 454-5371
NPI assigned
Jan 16, 2025
Last updated
Jan 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 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 Primary

Addresses

Primary practice location

3210 Eagle Run Dr NE Ste 100
Grand Rapids, MI 49525-7051

Mailing address

3210 Eagle Run Dr NE Ste 100
Grand Rapids, MI 49525-7051
Phone (616) 456-9553

Other practice location 1

709 S Greenville West Dr
Greenville, MI 48838-3514
Phone (616) 754-9146

Other names 1

  • Rachel Elizabeth Cruden 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
I20250204003657 MI Practitioner - Physician Assistant 6406386507 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Michigan Cardiology, PC CurrentSince Jan 30, 2025 Accepting new patients
East Beltline Imaging PLC Current Accepting new patients

Locations

3210 Eagle Run Dr NE
Ste 100
Grand Rapids, MI 49525
Phone (616) 279-3725

709 S Greenville West Dr
Greenville, MI 48838
Phone (616) 754-3880

Interoperability endpoints

  • Direct secure messaging: rcruden247634@epic00.shdirect.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, 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": "1736985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1396556619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3210 EAGLE RUN DR NE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495257051",
            "telephone_number": "616-456-9553",
            "fax_number": "616-454-5371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3210 EAGLE RUN DR NE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495257051",
            "telephone_number": "616-456-9553",
            "fax_number": "616-454-5371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "709 S Greenville West Dr",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "MI",
            "postal_code": "488383514",
            "country_code": "US",
            "telephone_number": "616-754-9146",
            "fax_number": "616-754-9152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAFRANCE",
        "first_name": "RACHEL",
        "middle_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "CRUDEN",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.