Individual provider Active NPI

Laura Muncie Samuel, M.S., PA-C

  • Physician Assistant
  • Grand Rapids, MI
National Provider Identifier
1407143829
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601006066 Issued in MI
Practice address
100 Michigan St NE # Mc171
Grand Rapids, MI 49503-2560
Phone
(616) 391-8640
Fax
(616) 391-5153
NPI assigned
Jul 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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 5601006066 MI Primary

Addresses

Primary practice location

100 Michigan St NE # Mc171
Grand Rapids, MI 49503-2560

Mailing address

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

Other practice location 1

221 Michigan St NE Ste 400
Grand Rapids, MI 49503-2538
Phone (616) 486-9600

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lmuncie50779@epic00.shdirect.org
FHIR URL https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, MS2 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
I20111004000646 MI Practitioner - Physician Assistant 5991977548 Reassigns benefits to 2 organizations
I20230504001960 MS Practitioner - Physician Assistant 5991977548 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Michigan Ave NE
Grand Rapids, MI 49503-2560

100 Michigan St NE RM
280 Corewell Health Medical Group West
Grand Rapids, MI 49503-2560
Phone (616) 267-0115

1215 E Michigan Ave
Lansing, MI 48912-1811

1840 Wealthy St SE
Corewell Health Medical Group West
Grand Rapids, MI 49506-2921
Phone (616) 885-5000

4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600

830 S Gloster
North Ms Med Ctr Sleep Lab
Tupelo, MS 38801-4934
Phone (662) 377-3258

830 S Gloster St
Tupelo, MS 38801-4934

830 S Gloster St 3Rd FL E Tower
Tupelo, MS 38801-4934

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Mississippi Medical Center Current Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Nov 1, 2024 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Mar 28, 2016 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Mar 28, 2016 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Nov 1, 2024 Accepting new patients
North Mississippi Medcial Center, Inc. CurrentSince Mar 20, 2023 Accepting new patients
North Mississippi Medical Center, Inc. CurrentSince Mar 20, 2023 Accepting new patients
Spectrum Health Primary Care Partners Current Accepting new patients
Rehabilitation & Physical Medicine Specialists, P.C. PastSince Oct 1, 2002 Accepting new patients
Great Lakes Neurosurgical Associates, PC PastSince Mar 11, 2025 Accepting new patients
Amory Surgery Clinic, PLLC Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

145 Michigan St NE
Ste 2220
Grand Rapids, MI 49503
Phone (616) 267-7758

1840 Wealthy St SE
Grand Rapids, MI 49506
Phone (616) 391-1730

221 Michigan St NE
Ste 400
Grand Rapids, MI 49503
Phone (616) 486-9600

100 Michigan St NE
#171
Grand Rapids, MI 49503

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

1205 Highway 182 W
#B
Starkville, MS 39759
Phone (662) 377-5199

4381 S Eason Blvd
Ste 302
Tupelo, MS 38801
Phone (662) 377-5700

808 Varsity Dr
Tupelo, MS 38801
Phone (662) 377-2386

830 S Gloster St
Tupelo, MS 38801
Phone (662) 377-3136

Interoperability endpoints

  • Direct secure messaging: lmuncie50779@epic00.shdirect.org
  • Direct secure messaging: laurasamuel@nmhs.medalliesdirect.net

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

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": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1407143829",
    "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": "100 MICHIGAN ST NE # MC171",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560",
            "telephone_number": "616-391-8640",
            "fax_number": "616-391-5153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 Michigan St NE Ste 400",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495032538",
            "country_code": "US",
            "telephone_number": "616-486-9600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "LAURA",
        "middle_name": "MUNCIE",
        "credential": "M.S., PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmuncie50779@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "221 Michigan St NE Ste 400",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495032538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "221 Michigan St NE Ste 400",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495032538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.