Kimberly Marie Comeau, PA-C
Individual provider Active NPI Physician Assistant · Charlotte, MI
NPI 1609349802 · NPPES record last updated Sep 11, 2025
Key facts
- NPI
- 1609349802
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5601008964 (MI)
- Practice address
- 616 Meijer Dr
Charlotte, MI 48813-8457 - Phone
- (517) 541-5935
- NPI assigned
- Jan 10, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ecs Western Michigan PC
Practice addresses (Care Compare)
1108 W State St
Hastings, MI 49058-9711
Phone (269) 948-3360
615 S Bower St
Greenville, MI 48838-2614
Phone (866) 542-7910
Hospital & facility affiliations
- Corewell Health Pennock Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190131000188 | MI | Practitioner - Physician Assistant | 0941547830 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601008964 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparrow Eaton Hospital | Current |
Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
616 Meijer Dr
Charlotte, MI 48813
Phone (517) 541-5935
123 Lansing St
Ste 2
Charlotte, MI 48813
Phone (517) 541-5954
111 Lansing St
Ste 110
Charlotte, MI 48813
Phone (517) 541-5855
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601008964 | MI | Yes |
Addresses
Primary practice location
616 Meijer Dr
Charlotte, MI 48813-8457
Mailing address
4100 Embassy Dr SE Ste 400
Grand Rapids, MI 49546-2416
Phone (616) 975-1845
Other practice location 1
1009 W Green St
Hastings, MI 49058-1710
Phone (269) 945-3451
Other providers in Charlotte, MI
- Matthew David Cohen
- Gregory H Colbert
- Katie Cole
- Bernice Colegrove
- Come As You Are Counseling and Consulting
- Contemporary Dental Care
- Sandra K Cook-Lass
- Craft Chiropractic Center PC
- Dennis Ray Craft
- Laurie Beth Craft
All providers in Charlotte, 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 Sep 11, 2025. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.