Individual provider Active NPI

Alexander Jon Warnsholz, PA-C

  • Physician Assistant
  • Ludington, MI
National Provider Identifier
1477091163
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601008100 Issued in MI
Practice address
7 Atkinson Dr FL 3
Ludington, MI 49431-1953
Phone
(616) 267-7104
NPI assigned
Feb 2, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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 5601008100 MI Primary

Addresses

Primary practice location

7 Atkinson Dr FL 3
Ludington, MI 49431-1953

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

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
I20170407000875 MI Practitioner - Physician Assistant 7810273737 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 Michigan Ave NE
Grand Rapids, MI 49503-2560

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

2 E Main St
Fremont, MI 49412-1244

520 Cobb St
Cadillac, MI 49601-2588

Hospital & facility affiliations

  • Corewell Health Ludington Hospital Hospital, Ludington, MI, CCN 230110
  • Spectrum Health Hospital, Grand Rapids, MI, CCN 230038

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601008100MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baldwin Family Health Care CurrentSince Sep 21, 2021 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince May 15, 2023 Accepting new patients
Baldwin Family Health Care CurrentSince Sep 21, 2021 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Apr 23, 2023 Accepting new patients
Primary Health Services PC Past Accepting new patients

Locations

1615 Michigan Ave
Baldwin, MI 49304
Phone (231) 745-2781

520 Cobb St
Cadillac, MI 49601
Phone (231) 775-6521

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

7 Atkinson Dr
Fl 3
Ludington, MI 49431

7 Atkinson Dr
Ste 302
Ludington, MI 49431
Phone (231) 268-0302

Interoperability endpoints

  • Direct secure messaging: awarnsholz1198302@epic00.corewelldirect.org

Organizations & group practices 6

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.

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": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1477091163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 ATKINSON DR FL 3",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494311953",
            "telephone_number": "616-267-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARNSHOLZ",
        "first_name": "ALEXANDER",
        "middle_name": "JON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-02",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601008100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ludington, MI

Sources for this page

Verify at the official NPI Registry.