Emily Jane Addington, PA-C

Individual provider Active NPI Physician Assistant · Grand Rapids, MI

NPI 1689452575 · NPPES record last updated Jan 31, 2025

Key facts

NPI
1689452575
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
5601011882 (MI)
Practice address
3271 Clear Vista CT NE
Grand Rapids, MI 49525-9477
Phone
(616) 267-7293
NPI assigned
Sep 20, 2023
Sex
Female
Sole proprietor
No

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spectrum Health Primary Care Partners (2,283 clinicians)

Practice addresses (Care Compare)

15100 Whittaker Way
Grand Haven, MI 49417-8696
Phone (616) 772-4644

3271 Clear Vista CT NE
Corewell Health Medical Group West
Grand Rapids, MI 49525-9477
Phone (616) 267-7293

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

Hospital & facility affiliations

  • Spectrum Health Hospital · Grand Rapids, MI · CCN 230038
  • Corewell Health Reed City Hospital Hospital · Reed City, MI · CCN 231323
  • Corewell Health Ludington Hospital Hospital · Ludington, MI · CCN 230110
  • Corewell Health Zeeland Hospital Hospital · Zeeland, MI · CCN 230003
  • Corewell Health Gerber Hospital Hospital · Fremont, MI · CCN 231338

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 IDStateProvider typePAC IDDetails
I20240321002472 MI Practitioner - Physician Assistant 8123465473 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601011882MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Health Primary Care Partners Current
since Jan 1, 2025
Accepting new patients
Spectrum Health Primary Care Partners Current Accepting new patients
Spectrum Health Primary Care Partners Current
since Jan 1, 2025
Accepting new patients
Joshua P June DO Rheumatology Current
since Feb 10, 2024
Accepting new patients

Locations

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

3271 Clear Vista Ct NE
Grand Rapids, MI 49525
Phone (616) 267-7125

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

4052 Legacy Pkwy
Ste 200
Lansing, MI 48911
Phone (517) 272-9700

Interoperability endpoints

  • Direct secure messaging: emily.morrell.p1@direct.glcor.nextgenshare.com
  • Direct secure messaging: emorrell246817@epic00.corewelldirect.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601011882 MI Yes

Addresses

Primary practice location

3271 Clear Vista CT NE
Grand Rapids, MI 49525-9477

Mailing address

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

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address emorrell246817@epic00.corewelldirect.org
FHIR URL https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/

Other providers in Grand Rapids, MI

All providers in Grand Rapids, MI · Physician Assistant in Michigan

Sources for this page

Verify at the official NPI Registry.