Individual provider Active NPI

Laura Sue Felton-Zerafa, PA-C

  • Physician Assistant
  • Paw Paw, MI
National Provider Identifier
1689124349
Registry record updated Oct 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601007992 Issued in MI
Practice address
404 Hazen St Ste L3
Paw Paw, MI 49079-1040
Phone
(269) 657-1595
Fax
(269) 657-1534
NPI assigned
Oct 6, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 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 5601007992 MI Primary

Addresses

Primary practice location

404 Hazen St Ste L3
Paw Paw, MI 49079-1040

Mailing address

216 Edgemoor Ave
Kalamazoo, MI 49001-4206
Phone (269) 993-9758

Other practice location 1

300 68th St SE
Grand Rapids, MI 49548-6927
Phone (800) 678-5500

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
I20161207000545 MI Practitioner - Physician Assistant 2466732557 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeland Hospitals at Niles and St Joseph IncGroup PAC ID 7517929037, 134 clinicians

Practice addresses (Care Compare)

1234 Napier Ave
Corewell Health Lakeland Hospitals
Saint Joseph, MI 49085-2112
Phone (269) 983-8300

Hospital & facility affiliations

  • Lakeland Hospital, St Joseph Hospital, St Joseph, MI, CCN 230021

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601007992MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson Lakeview Hospital CurrentSince Feb 5, 2018 Accepting new patients
Bronson Lakeview Hospital CurrentSince Feb 5, 2018 Accepting new patients
Pine Rest Christian Mental Health Services CurrentSince Nov 30, 2016 Accepting new patients
Pine Rest Christian Mental Health Services CurrentSince Nov 30, 2016 Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince Jun 1, 2018 Accepting new patients
Lakeland Hospitals at Niles and St Joseph, Inc CurrentSince Jun 1, 2018 Accepting new patients

Locations

451 Health Pkwy
Paw Paw, MI 49079
Phone (269) 655-1725

404 Hazen St
Ste L3
Paw Paw, MI 49079
Phone (269) 657-1595

1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941

300 68th St SE
Wyoming, MI 49548
Phone (616) 455-5000

Interoperability endpoints

  • Direct secure messaging: lfeltonzerafa1269410@epic00.corewelldirect.org
  • Direct secure messaging: lzerafa98069@direct.bronsonhg.org

Organizations & group practices 6

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 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": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635465600000",
    "number": "1689124349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 EDGEMOOR AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490014206",
            "telephone_number": "269-993-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 HAZEN ST STE L3",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490791040",
            "telephone_number": "269-657-1595",
            "fax_number": "269-657-1534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 68th St SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495486927",
            "country_code": "US",
            "telephone_number": "800-678-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELTON-ZERAFA",
        "first_name": "LAURA",
        "middle_name": "SUE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-06",
        "last_updated": "2021-10-29",
        "certification_date": "2021-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paw Paw, MI

Sources for this page

Verify at the official NPI Registry.