Individual provider Active NPI

Mary Frances Fairfield, PA

  • Physician Assistant
  • Reed City, MI
National Provider Identifier
1629584040
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601008504 Issued in MI
Practice address
300 N Patterson Rd
Reed City, MI 49677-8041
Phone
(231) 832-7170
NPI assigned
Dec 21, 2017
Last updated
Dec 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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 5601008504 MI Primary

Addresses

Primary practice location

300 N Patterson Rd
Reed City, MI 49677-8041

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mfairfield244435@epic00.shdirect.org
FHIR URL https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/

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
I20180202001691 MI Practitioner - Physician Assistant 5092075499 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4069 Lake Dr SE
Grand Rapids, MI 49546-8816

4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group Promed CurrentSince Dec 17, 2018 Accepting new patients
Spectrum Health Primary Care Partners Current Accepting new patients
Mecosta County Medical Center CurrentSince Dec 29, 2024 Accepting new patients
Reed City Hospital Corporation CurrentSince Dec 29, 2024 Accepting new patients
Beacon Kalamazoo Inc CurrentSince Sep 15, 2021 Accepting new patients
Promed Healthcare CurrentSince Dec 17, 2018 Accepting new patients
Beacon Kalamazoo Inc CurrentSince Sep 15, 2021 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Sep 19, 2022 Accepting new patients
Reed City Hospital Corporation CurrentSince Dec 29, 2024 Accepting new patients

Locations

605 Oak St
Big Rapids, MI 49307
Phone (231) 592-1079

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

1005 W Green St
Ste 300
Hastings, MI 49058
Phone (269) 948-8411

4075 32nd Ave
Hudsonville, MI 49426
Phone (616) 229-9310

2776 S State Rd
Ionia, MI 48846
Phone (616) 267-8700

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

6565 W Main St
Kalamazoo, MI 49009
Phone (269) 375-0400

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

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

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

300 N Patterson Rd
Reed City, MI 49677
Phone (231) 832-3271

Interoperability endpoints

  • Direct secure messaging: mfairfield244435@epic00.corewelldirect.org
  • Direct secure messaging: mfairfield244435@epic00.shdirect.org

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1629584040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N PATTERSON RD",
            "city": "REED CITY",
            "state": "MI",
            "postal_code": "496778041",
            "telephone_number": "231-832-7170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRFIELD",
        "first_name": "MARY",
        "middle_name": "FRANCES",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-21",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601008504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mfairfield244435@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "80 68th St SE",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495486980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "80 68th St SE",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495486980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Reed City, MI

Sources for this page

Verify at the official NPI Registry.