Active NPI
Rachel M. Pashak, PA-C
- Physician Assistant
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601010223
- Practice address
- 18 Lowell Ave NE
Grand Rapids, MI 49503-3760 - Phone
- (517) 974-7397
- NPI assigned
- Oct 7, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601010223 | MI | Primary |
Addresses
Primary practice location
18 Lowell Ave NE
Grand Rapids, MI 49503-3760
Mailing address
3700 W Lehman Rd
Dewitt, MI 48820-9149
Phone (517) 974-7397
Other names 1
- Rachel Graziano
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601010223 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theoria Medical | Physician Assistant | Current | Accepting new patients |
| Advantage Health Saint Mary'S Medical Group | Physician Assistant | Current | Accepting new patients |
Locations
10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850
5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216
6700 W Outer Dr
Detroit, MI 48235
Phone (313) 836-1700
3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300
41850 W 11 Mile Rd
Ste 207A
Novi, MI 48375
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
Interoperability endpoints
- rgraziano2368595@direct.trinity-health.org
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.
-
- Multi-Specialty Clinic/Center
- Grand Rapids, MI
- NPI 1376862151
-
- Internal Medicine Physician
- Novi, MI
- NPI 1457144933
-
- Orthopaedic Surgery Physician
- Byron Center, MI
- NPI 1003515008
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729555200000",
"number": "1609473198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 W LEHMAN RD",
"city": "DEWITT",
"state": "MI",
"postal_code": "488209149",
"telephone_number": "517-974-7397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 LOWELL AVE NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495033760",
"telephone_number": "517-974-7397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASHAK",
"first_name": "RACHEL",
"middle_name": "M.",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-07",
"last_updated": "2024-10-22",
"certification_date": "2024-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601010223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "GRAZIANO",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.