Individual provider Active NPI

Leidy Fournier, PA-C

  • Physician Assistant
  • Grand Rapids, MI
National Provider Identifier
1437693660
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601008126 Issued in MI
Practice address
6690 Crossings Dr SE Ste C
Grand Rapids, MI 49508-7394
Phone
(616) 600-1885
NPI assigned
Dec 7, 2016
Last updated
Apr 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 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 5601008126 MI Primary

Addresses

Primary practice location

6690 Crossings Dr SE Ste C
Grand Rapids, MI 49508-7394

Mailing address

6690 Crossings Dr SE Ste C
Grand Rapids, MI 49508-7394
Phone (616) 600-1885

Other names 1

  • Leidy Rufin 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
I20170303001032 MI Practitioner - Physician Assistant 4486938818 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David Barney PLLCGroup PAC ID 8729323175, 5 clinicians

Practice addresses (Care Compare)

6690 Crossings Dr SE
Suite C
Grand Rapids, MI 49508-7394
Phone (616) 600-1885

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Health Saint Mary's Medical Group Physician Assistant CurrentSince Jul 10, 2017 Accepting new patients
Advantage Health Saint Mary's Medical Group CurrentSince Jul 10, 2017 Accepting new patients

Locations

10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850

1471 E Beltline Ave NE
Ste 102
Grand Rapids, MI 49525
Phone (616) 685-3414

Interoperability endpoints

  • Direct secure messaging: lfournier87188@epic00.corewelldirect.org

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1437693660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6690 CROSSINGS DR SE STE C",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495087394",
            "telephone_number": "616-600-1885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6690 CROSSINGS DR SE STE C",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495087394",
            "telephone_number": "616-600-1885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOURNIER",
        "first_name": "LEIDY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-07",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601008126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEIDY",
            "last_name": "RUFIN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.