Kevin E. Ferrell, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601007459 Issued in MI

Practice address

50973 County Road 681
Lawrence, MI 49064-9048

Phone

(269) 241-2220

Fax

(269) 674-4239

NPI assigned

Sep 14, 2015

Last updated

Oct 18, 2022By the provider in NPPES

Sex

Male

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

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.

Opted out of Medicare

Yes, effective Oct 1, 2025 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Integrity Health PLLC

  dba Lawrence Community Care

  • Primary Care Clinic/Center
  • Lawrence, MI
  • NPI 1487452017
  NPD Authorized official

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1487022091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50973 COUNTY ROAD 681",
            "city": "LAWRENCE",
            "state": "MI",
            "postal_code": "490649048",
            "telephone_number": "517-898-7718",
            "fax_number": "269-639-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50973 COUNTY ROAD 681",
            "city": "LAWRENCE",
            "state": "MI",
            "postal_code": "490649048",
            "telephone_number": "269-241-2220",
            "fax_number": "269-674-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRELL",
        "first_name": "KEVIN",
        "middle_name": "E.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-14",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Marie Chipman-Bergsma, DDS
• Courtney Cook, RN
• Manda Sue Diskin
• Morgan Marie Diskin
• Kali Edwards, D.C.
• Guritz Houser Afc Home
• Integrity Health PLLC (Lawrence Community Care)
• Sammie Allison Jaskowiak
• One Day at a Time Autism Center LLC
• Allie Remick

• Physician Assistant in Lawrence, MI
• Providers in Lawrence, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.