Individual provider Active NPI

Susan A Raaymakers, PA-C

  • Physician Assistant
  • Flint, MI
National Provider Identifier
1619248341
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601006269 Issued in MI
Practice address
2469 W Hill Rd
Flint, MI 48507-3883
Phone
(810) 407-6039
Fax
(810) 407-8834
NPI assigned
Jan 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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 5601006269 MI Primary

Addresses

Primary practice location

2469 W Hill Rd
Flint, MI 48507-3883

Mailing address

2469 W Hill Rd
Flint, MI 48507-3883
Phone (810) 407-6039

Other practice location 1

7070 Miller Rd
Swartz Creek, MI 48473-1591
Phone (810) 553-1468

Other names 1

  • Susan A Hollerman 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
I20120518000309 MI Practitioner - Physician Assistant 2062675606 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prime Radiology Consultants P.C.Group PAC ID 7416485040, 52 clinicians

Practice addresses (Care Compare)

826 W King St
Owosso, MI 48867-2120
Phone (833) 364-7790

900 Cooper Ave
Saginaw, MI 48602-5182
Phone (833) 364-7790

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Health Hospitals CurrentSince May 23, 2012 Accepting new patients
Spectrum Health Hospitals CurrentSince May 23, 2012 Accepting new patients
Rochester Urgent Care, P. C. CurrentSince Apr 1, 2022 Accepting new patients
Lakeside Urgent Care, P.C. CurrentSince Apr 1, 2022 Accepting new patients
Somerset Urgent Care PLLC CurrentSince Apr 1, 2022 Accepting new patients
First Choice Urgent Care PC Past Accepting new patients
Pennock Hospital Past Accepting new patients

Locations

44472 Hayes Rd
Clinton Twp, MI 48038
Phone (586) 412-0890

100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680

1000 East Paris Ave SE
Ste 260
Grand Rapids, MI 49546
Phone (616) 957-9237

100 Michigan St NE
Fl 10
Grand Rapids, MI 49503
Phone (616) 267-1925

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

80 68th St SE
Kentwood, MI 49548
Phone (616) 391-8220

2952 S Rochester Rd
Rochester Hills, MI 48307
Phone (248) 853-2009

1500 W Big Beaver Rd
Ste 104
Troy, MI 48084
Phone (248) 649-4444

31200 Mound Rd
Warren, MI 48092
Phone (248) 850-8395

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

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": "1327536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1619248341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2469 W HILL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073883",
            "telephone_number": "810-407-6039",
            "fax_number": "810-407-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2469 W HILL RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485073883",
            "telephone_number": "810-407-6039",
            "fax_number": "810-407-8834"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7070 Miller Rd",
            "address_purpose": "LOCATION",
            "city": "Swartz Creek",
            "state": "MI",
            "postal_code": "484731591",
            "country_code": "US",
            "telephone_number": "810-553-1468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAAYMAKERS",
        "first_name": "SUSAN",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-26",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "HOLLERMAN",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.