Kevin E. Ferrell, PA
Individual provider Active NPI Physician Assistant · Lawrence, MI
NPI 1487022091 · NPPES record last updated Oct 18, 2022
Key facts
- NPI
- 1487022091
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5601007459 (MI)
- Practice address
- 50973 County Road 681
Lawrence, MI 49064-9048 - Phone
- (269) 241-2220
- Fax
- (269) 674-4239
- NPI assigned
- Sep 14, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
- Opted out of Medicare
- Yes, effective Oct 1, 2025 through Oct 1, 2027
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrity Health PLLC | Current |
Accepting new patients |
Locations
119 N Paw Paw St
Lawrence, MI 49064
Phone (269) 241-2220
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601007459 | MI | Yes |
Addresses
Primary practice location
50973 County Road 681
Lawrence, MI 49064-9048
Mailing address
50973 County Road 681
Lawrence, MI 49064-9048
Phone (517) 898-7718
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5601007459 | Other | MI | PHYSICIAN ASSISTANT TEMPORARY LICENSE |
Other providers in Lawrence, MI
- Anna Marie Chipman-Bergsma
- Courtney Cook
- Manda Sue Diskin
- Morgan Marie Diskin
- Kali Edwards
- Guritz Houser Afc Home
- Integrity Health PLLC
- Sammie Allison Jaskowiak
- One Day at a Time Autism Center LLC
- Allie Remick
All providers in Lawrence, 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 Oct 18, 2022. 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).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.