Individual provider Active NPI

Bailey Sjoberg, PA-C

  • Medical Physician Assistant
  • East Lansing, MI
National Provider Identifier
1689552630
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
2682 E Grand River Ave
East Lansing, MI 48823-5608
Phone
(517) 333-6562
NPI assigned
Aug 26, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MI Primary

Addresses

Primary practice location

2682 E Grand River Ave
East Lansing, MI 48823-5608

Mailing address

2682 E Grand River Ave
East Lansing, MI 48823-5608
Phone (517) 282-2764

Other practice location 1

1120 E Michigan Ave Ste A
Lansing, MI 48912-1810
Phone (517) 364-9790

Other practice location 2

1015 Charlevoix Dr
Grand Ledge, MI 48837-2278
Phone (517) 627-0100

Other practice location 3

616 Meijer Dr
Charlotte, MI 48813-8457
Phone (517) 541-5935

Other practice location 4

800 E Columbia St
Mason, MI 48854-1381
Phone (517) 244-8900

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
I20250923004176 MI Practitioner - Physician Assistant 7618472424 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Central Michigan College of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1004 E Michigan Ave
Lansing, MI 48912-1809
Phone (517) 364-9790

1015 Charlevoix Dr
Grand Ledge, MI 48837-2278
Phone (517) 627-0100

2682 E Grand River Ave
East Lansing, MI 48823-5608

800 E Columbia St
Mason, MI 48854-1381

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W Sparrow Hospital Association CurrentSince Nov 1, 2025 Accepting new patients
Sparrow Carson Hospital CurrentSince Nov 1, 2025 Accepting new patients
Sparrow Ionia Hospital CurrentSince Nov 1, 2025 Accepting new patients
Sparrow Carson Hospital CurrentSince Nov 1, 2025 Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Nov 1, 2025 Accepting new patients
Sparrow Ionia Hospital Past Accepting new patients
Edward W. Sparrow Hospital Association Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

102 S 3rd St
Ste 100
Carson City, MI 48811
Phone (989) 584-1308

616 Meijer Dr
Charlotte, MI 48813
Phone (517) 541-5935

2682 E Grand River Ave
East Lansing, MI 48823
Phone (517) 333-6352

1015 Charlevoix Dr
Grand Ledge, MI 48837
Phone (517) 627-0100

1014 E Washington St
Greenville, MI 48838
Phone (616) 754-7145

550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600

1120 E Michigan Ave
Ste A
Lansing, MI 48912
Phone (517) 364-9777

800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900

Organizations & group practices 9

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 2

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": "1756166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1689552630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2682 E GRAND RIVER AVE",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235608",
            "telephone_number": "517-282-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2682 E GRAND RIVER AVE",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235608",
            "telephone_number": "517-333-6562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 E Michigan Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489121810",
            "country_code": "US",
            "telephone_number": "517-364-9790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1015 Charlevoix Dr",
            "address_purpose": "LOCATION",
            "city": "Grand Ledge",
            "state": "MI",
            "postal_code": "488372278",
            "country_code": "US",
            "telephone_number": "517-627-0100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "616 Meijer Dr",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "MI",
            "postal_code": "488138457",
            "country_code": "US",
            "telephone_number": "517-541-5935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 E Columbia St",
            "address_purpose": "LOCATION",
            "city": "Mason",
            "state": "MI",
            "postal_code": "488541381",
            "country_code": "US",
            "telephone_number": "517-244-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SJOBERG",
        "first_name": "BAILEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-26",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.