Teresa L Wainscott, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601001788 Issued in MI

Practice address

221 Michigan St NE Ste 300
Grand Rapids, MI 49503-2537

Phone

(616) 459-7258

Fax

(616) 459-5215

NPI assigned

May 10, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Great Lakes Heart & Vascular Institute, P.C.

  • Cardiovascular Disease Physician
  • Saint Joseph, MI
  • NPI 1205911047
  NPD (past)
• West Michigan Cardiology, PC

  • Specialist
  • Grand Rapids, MI
  • NPI 1780770859
  NPD (past)
• West Michigan Cardiothoracic Surgeons PLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Grand Rapids, MI
  • NPI 1487626271
  NPD (past)
• West Michigan Heart

  • Cardiovascular Disease Physician
  • Grand Rapids, MI
  • NPI 1174504021

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1417907874",
    "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": "221 MICHIGAN ST NE STE 300",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032537",
            "telephone_number": "616-459-7258",
            "fax_number": "616-459-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAINSCOTT",
        "first_name": "TERESA",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601001788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathanael Wagner
• Alexandria Wahl
• Laura Anne Wahl, LLMSW
• Elena Diane Wahmhoff, MD
• Amanda Michelle Waidelich, LPC
• Carla May Waite, LMSW
• Jessica Waite, CNM
• Sylvia Wajswol, DO
• John Phillip Wake
• Gracie Mae Wakefield

• Physician Assistant in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.