Eyoome K Agbley, PA-C – Physician Assistant

Key facts

NPI: 1457724965
Entity type: Individual (NPI type 1)
Primary specialty: Physician Assistant 363A00000X
License: 5601007847 (MI)
Practice address: 3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Phone: (616) 363-7272
Fax: (616) 361-5828
NPI assigned: Nov 5, 2015
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Advanced Radiology Services PC Diagnostic Radiology Physician · Grand Rapids, MI · NPI 1740283324

Medicare reassignment Care Compare group MI

Hospital & facility affiliations 7

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

Bronson Battle Creek Hospital General Acute Care Hospital · Battle Creek, MI · NPI 1083644579

Care Compare affiliation Hospital
Bronson Methodist Hospital General Acute Care Hospital · Kalamazoo, MI · NPI 1831116441

Care Compare affiliation Hospital
Bronson South Haven Hospital General Acute Care Hospital · South Haven, MI · NPI 1346275856

Care Compare affiliation Hospital
Lakeland Hospitals at Niles and St Joseph, Inc General Acute Care Hospital · Saint Joseph, MI · NPI 1134220031

Care Compare affiliation Hospital
Mymichigan Medical Center Alpena Rural Acute Care Hospital · Sault Sainte Marie, MI · NPI 1619791431

Care Compare affiliation Hospital
Mymichigan Medical Center Alpena Rural Acute Care Hospital · Alpena, MI · NPI 1619914652

Care Compare affiliation Hospital
Mymichigan Medical Center Alpena Internal Medicine Physician · Alpena, MI · NPI 1942302302

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Physician Assistant
Education: Other, 2012
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Advanced Radiology Services PC (252 clinicians)

Practice addresses (Care Compare)

100 Michigan Ave NE
Grand Rapids, MI 49503-2560
Phone (616) 363-7272

1009 W Green St
Hastings, MI 49058-1710
Phone (616) 363-7272

1234 Napier Ave
Saint Joseph, MI 49085-2112
Phone (616) 363-7272

14544 Georgian Bay Dr
Holland, MI 49424-7535
Phone (616) 363-7272

1501 W Chisholm St
Alpena, MI 49707-1401
Phone (616) 363-7272

1855 Boardwalk
Saint Joseph, MI 49085-9664
Phone 61636372721046

1987 Navaho TRL
Okemos, MI 48864-2721
Phone (616) 363-7272

2610 Old Lake Shore Rd
Saint Joseph, MI 49085-1863
Phone 61636372721046

292 Yarmouth Rd
Bloomfield Hills, MI 48301-2745
Phone (616) 363-7272

300 N Ave
Battle Creek, MI 49017-3307
Phone (616) 363-7272

3099 Churchhill LN
Apt 4
Saginaw, MI 48603-4312
Phone (616) 363-7272

3121 Oak LN
Stevensville, MI 49127-9346
Phone (616) 363-7272

3653 Whicker Pointe
Kalamazoo, MI 49006-6413
Phone (616) 363-7272

3700 Lake Birch St NE
Grand Rapids, MI 49525-8606
Phone (616) 363-7272

4999 W Village CT SE
Ada, MI 49301-7609
Phone (616) 363-7272

524 S Park St
Kalamazoo, MI 49007-5118
Phone (616) 363-7272

5325 Ridge Rd
Stevensville, MI 49127-1000
Phone (616) 363-7272

6460 S Bluebird Ave E
Fremont, MI 49412-7660
Phone (616) 363-7272

6715 Apple Blossom LN
Kalamazoo, MI 49009-7488
Phone 61636373391046

859 Majestic
Rochester Hills, MI 48306-3574
Phone (616) 363-7272

9652 Maricopa TRL
Kalamazoo, MI 49009-4957
Phone (616) 363-7272

Hospital & facility affiliations

Bronson Methodist Hospital Hospital · Kalamazoo, MI · CCN 230017
Bronson Battle Creek Hospital Hospital · Battle Creek, MI · CCN 230075
Lakeland Hospital, St Joseph Hospital · St Joseph, MI · CCN 230021
Mymichigan Medical Center Alpena Hospital · Alpena, MI · CCN 230036
Bronson South Haven Hospital Hospital · South Haven, MI · CCN 230085

Merit-based Incentive Payment System (MIPS)

Final score: 90.33 of 100 (group)
Quality: 91.31
Improvement activities: 40
Cost: 79.05

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MI
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20160908002760	MI	Practitioner - Physician Assistant	6305148024	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Physician Assistant

State licenses

License	State	Type	Specialty
1001984A	IN	MD	Physician Assistant
5601007847	MI	MD	Physician Assistant

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physician Assistant	363A00000X	5601007847	MI	Yes
Physician Assistant	363A00000X	1001984A	IN

Addresses

Primary practice location

3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746

Mailing address

3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Phone (616) 363-7272

Other names

Kwabea E Agbley Former name

Other providers in Grand Rapids, MI

All providers in Grand Rapids, MI · Physician Assistant in Michigan

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.