Individual provider Active NPI

Aryn Nauta, PA-C

  • Physician Assistant
  • Muskegon, MI
National Provider Identifier
1548800113
Registry record updated Jan 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601009772 Issued in MI
Practice address
1560 E Sherman Blvd Ste 240
Muskegon, MI 49444-1854
Phone
(231) 672-3883
NPI assigned
Jan 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2021

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 5601009772 MI Primary

Addresses

Primary practice location

1560 E Sherman Blvd Ste 240
Muskegon, MI 49444-1854

Mailing address

3138 S Riverwood Dr
Twin Lake, MI 49457-9784
Phone (231) 740-5987

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
I20200131001369 MI Practitioner - Physician Assistant 3375979883 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Specialty ServicesGroup PAC ID 2365439544, 87 clinicians

Practice addresses (Care Compare)

1500 E Sherman Blvd
Muskegon, MI 49444-1849
Phone (231) 672-3883

72 S State St
Shelby, MI 49455-1228
Phone (231) 672-3883

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Partners CurrentSince Mar 1, 2020 Accepting new patients
Mercy Physician Network Physician Assistant CurrentSince Mar 1, 2020 Accepting new patients
Mercy Health Partners CurrentSince Mar 1, 2020 Accepting new patients

Locations

1212 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-3500

1500 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-3027

1277 Mercy Dr
Slp Ctr
Muskegon, MI 49444
Phone (231) 672-6186

2006 Holton Rd
North Muskegon, MI 49445
Phone (231) 672-3333

71 Bevier St
Shelby, MI 49455
Phone (231) 861-2172

Organizations & group practices 8

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": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609459200000",
    "number": "1548800113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3138 S RIVERWOOD DR",
            "city": "TWIN LAKE",
            "state": "MI",
            "postal_code": "494579784",
            "telephone_number": "231-740-5987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 E SHERMAN BLVD STE 240",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441854",
            "telephone_number": "231-672-3883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAUTA",
        "first_name": "ARYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-13",
        "last_updated": "2021-01-01",
        "certification_date": "2021-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601009772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.