Individual provider Active NPI

Sara Lyn Koenes, PA-C

  • Physician Assistant
  • Greenville, MI
National Provider Identifier
1508970468
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601003177 Issued in MI
Practice address
6896 S Greenville Rd Ste 100
Greenville, MI 48838-1081
Phone
(616) 754-5036
Fax
(616) 619-6010
NPI assigned
Aug 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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 5601003177 MI Primary

Addresses

Primary practice location

6896 S Greenville Rd Ste 100
Greenville, MI 48838-1081

Mailing address

6896 S Greenville Rd Ste 100
Greenville, MI 48838-1081
Phone (616) 754-5036

Other names 1

  • Sara French 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
I20051108000676 MI Practitioner - Physician Assistant 2466470430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Partners in Pain and Spine PLCGroup PAC ID 5193258549, 2 clinicians

Practice addresses (Care Compare)

6896 S Greenville Rd
Suite 100
Greenville, MI 48838-1081
Phone (616) 232-6886

Hospital & facility affiliations

  • Spectrum Health United Hospital Hospital, Greenville, MI, CCN 230035
  • Sheridan Community Hospital Hospital, Sheridan, MI, CCN 231312

Merit-based Incentive Payment System (MIPS)

Final score
87.49 of 100Reported as group
Quality
78.04
Promoting interoperability
100
Improvement activities
40
Cost
75.09

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Rest Christian Mental Health Services Past Accepting new patients
Pine Rest Christian Mental Health Services Physician Assistant Past Accepting new patients
Geriatric Psychiatric Services PLLC Past Accepting new patients

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 and National Provider Directory roles.

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1508970468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6896 S GREENVILLE RD STE 100",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488381081",
            "telephone_number": "616-754-5036",
            "fax_number": "616-619-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6896 S GREENVILLE RD STE 100",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488381081",
            "telephone_number": "616-754-5036",
            "fax_number": "616-619-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENES",
        "first_name": "SARA",
        "middle_name": "LYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARA",
            "last_name": "FRENCH",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenville, MI

Sources for this page

Verify at the official NPI Registry.