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
Hospital & facility affiliations 2
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
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150119000368 | MI | Practitioner - Physician Assistant | 7113241357 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Medical Center of West Michigan | Current |
Accepting new patients | |
| Newaygo County General Hospital Association | Current |
Accepting new patients | |
| Spectrum Health Primary Care Partners | Current |
Accepting new patients | |
| Newaygo County General Hospital Association | Current |
Accepting new patients | |
| Memorial Medical Center of West Michigan | Current |
Accepting new patients | |
| Advantage Health/Saint Mary'S Medical Group | Current |
Accepting new patients | |
| Advantage Health Saint Mary'S Medical Group | Physician Assistant | Current |
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
- kpierce283554@epic00.corewelldirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kdriesenga283554@epic00.shdirect.org | ||
| FHIR URL | https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/ |
Other providers in Sparta, MI
- Minnietalks2You
- Annemarie Lynn Momber
- Wendy Muma
- Alexander Robert Nylaan
- Denis Okoba
- Pioneer Pharmacy Services II, LLC
- Jennifer Portko
- Dennis L Radke
- James P Ranta
- Adalynn Rhodes
All providers in Sparta, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.