Kerri Lyn Pierce, PA-C

Individual provider Active NPI Physician Assistant · Sparta, MI

NPI 1699163196 · NPPES record last updated Mar 28, 2023

Key facts

NPI
1699163196
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
License
5601007221 (MI)
Practice address
2111 12 Mile Rd NW
Sparta, MI 49345-9754
Phone
(616) 391-8470
NPI assigned
Jan 6, 2015
Sex
Female
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Health Primary Care Partners (2,283 clinicians)

Practice addresses (Care Compare)

2111 12 Mile Rd NW
Corewell Health Medical Group West
Sparta, MI 49345-9754
Phone (616) 267-8950

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

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
I20150119000368 MI Practitioner - Physician Assistant 7113241357 Reassigns benefits to 4 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Medical Center of West Michigan Current
since Jan 1, 2021
Accepting new patients
Newaygo County General Hospital Association Current
since Jan 1, 2021
Accepting new patients
Spectrum Health Primary Care Partners Current
since Jan 1, 2021
Accepting new patients
Newaygo County General Hospital Association Current
since Jan 1, 2021
Accepting new patients
Memorial Medical Center of West Michigan Current
since Jan 1, 2021
Accepting new patients
Advantage Health/Saint Mary'S Medical Group Current
since Feb 1, 2015
Accepting new patients
Advantage Health Saint Mary'S Medical Group Physician Assistant Current
since Feb 1, 2015
Accepting new patients
Spectrum Health Primary Care Partners Current Accepting new patients

Locations (25 of 28)

7128 Fulton St E
Ada, MI 49301
Phone (616) 825-3500

7751 Byron Center Ave SW
Ste A
Byron Center, MI 49315
Phone (616) 267-3321

10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850

25 Conran Dr
Ste B
Coopersville, MI 49404
Phone (616) 267-7860

212 S Sullivan Ave
Fremont, MI 49412
Phone (231) 924-1212

230 W Oak St
Fremont, MI 49412
Phone (231) 924-1305

204 W Main St
Fremont, MI 49412
Phone (231) 924-1122

4069 Lake Dr SE
Ste 315
Grand Rapids, MI 49546
Phone (616) 267-7700

1545 68th St SE
Ste 100
Grand Rapids, MI 49508
Phone (616) 267-7881

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

426 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 267-7888

2750 E Beltline Ave NE
Grand Rapids, MI 49525
Phone (616) 267-7015

3185 Macatawa Dr SW
Ste A
Grandville, MI 49418
Phone (616) 391-4500

3380 44th St SW
Grandville, MI 49418
Phone (616) 685-8250

230 S Maple St
Grant, MI 49327
Phone (231) 834-5995

2481 N 72nd Ave
Hart, MI 49420
Phone (231) 873-2163

588 E Lakewood Blvd
Holland, MI 49424
Phone (616) 494-5800

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

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

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

4600 Breton Rd SE
Ste 102
Kentwood, MI 49508
Phone (616) 356-4161

922 Lawndale St
Ludington, MI 49431
Phone (231) 845-7380

7 Atkinson Dr
Ste 111
Ludington, MI 49431
Phone (231) 733-2008

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

2009 Holton Rd
North Muskegon, MI 49445
Phone (231) 291-8020

Interoperability endpoints

  • Direct secure messaging: kpierce283554@epic00.corewelldirect.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601007221 MI Yes

Addresses

Primary practice location

2111 12 Mile Rd NW
Sparta, MI 49345-9754

Mailing address

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

Other names

  • Kerri Lyn Driesenga Former name

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address kdriesenga283554@epic00.shdirect.org
FHIR URL https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/

Other providers in Sparta, MI

All providers in Sparta, MI · Physician Assistant in Michigan

Sources for this page

Verify at the official NPI Registry.