Active NPI
Kimberly Lynn Liskey Comiskey, PA
- Physician Assistant
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601008832
- Practice address
- 80 68TH St SE
Grand Rapids, MI 49548-6980 - Phone
- (616) 391-8242
- NPI assigned
- May 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601008832 | MI | Primary |
Addresses
Primary practice location
80 68TH St SE
Grand Rapids, MI 49548-6980
Mailing address
100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560
Other names 1
- Kimberly L Comiskey
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kliskeycomiskey249330@epic00.shdirect.org | ||
| FHIR URL | https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2332 Alpine Ave NW
Corewell Health Medical Group West
Grand Rapids, MI 49544-1955
Phone (616) 267-8950
2750 E Beltline Ave NE
Corewell Health Medical Group West
Grand Rapids, MI 49525-8614
Phone (616) 267-8950
2750 E Beltline Ave NE FL
Grand Rapids, MI 49525-8614
2770 E Beltline Ave NE
Grand Rapids, MI 49525-8614
Phone (616) 267-8860
4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600
80 68TH St SE
Grand Rapids, MI 49548-6980
80 68TH St SE FL
1 Corewell Health Medical Group West
Grand Rapids, MI 49548-6980
Phone (616) 267-8950
8501 Meadow CRK
Rockford, MI 49341-7524
Phone (616) 267-8950
Hospital & facility affiliations
- Spectrum Health
- Borgess Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America LLC | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Ascension Borgess Hospital | Current | Accepting new patients | |
| Ascension Borgess Hospital | Current | Accepting new patients | |
| Cep America LLC | Current | Accepting new patients | |
| Vituity-Michigan Health Services PC | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Midwest Emergency Associates de Paul LLC | Past | Accepting new patients | |
| North County Emergency Physicians, LLP | Physician Assistant | Past | Accepting new patients |
| Emergency Medicine Associates of Madison, SC | Past | Accepting new patients | |
| EMS, LLC | Past | Accepting new patients | |
| Nall Emergency Physicians, LLC | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242
4075 32nd Ave
Hudsonville, MI 49426
Phone (616) 229-9310
1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165
80 68th St SE
Kentwood, MI 49548
Phone (616) 391-8220
4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600
411 Naomi St
Plainwell, MI 49080
Phone (269) 685-0700
4599 Towne Centre Rd
Saginaw, MI 48604
Phone (989) 497-3000
Interoperability endpoints
- kliskeycomiskey249330@epic00.corewelldirect.org
Organizations & group practices 14
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.
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1235188673
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1568416311
-
- Emergency Medicine Physician
- Kalamazoo, MI
- NPI 1750102323
-
- Emergency Medicine Physician
- Saginaw, MI
- NPI 1912687328
-
- Diagnostic Radiology Physician
- Kalamazoo, MI
- NPI 1518753441
-
- Emergency Medicine Physician
- Marshall, MI
- NPI 1578243796
-
- Nurse Practitioner
- Grand Rapids, MI
- NPI 1346480258
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1689499667
-
- Emergency Medicine Physician
- Fort Lauderdale, FL
- NPI 1700747946
-
- Emergency Medicine Physician
- Madison, WI
- NPI 1235119769
-
- Emergency Medicine Physician
- Kansas City, MO
- NPI 1114154200
-
- Emergency Medicine Physician
- Bridgeton, MO
- NPI 1265479448
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1568416311
-
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691539200000",
"number": "1710938154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MICHIGAN ST NE # MC845",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495032560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 68TH ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495486980",
"telephone_number": "616-391-8242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISKEY COMISKEY",
"first_name": "KIMBERLY",
"middle_name": "LYNN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601008832",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kliskeycomiskey249330@epic00.shdirect.org",
"affiliation": "N",
"address_1": "80 68th St SE",
"city": "Grand Rapids",
"state": "MI",
"country_code": "US",
"postal_code": "495486980",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "80 68th St SE",
"city": "Grand Rapids",
"state": "MI",
"country_code": "US",
"postal_code": "495486980",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "COMISKEY",
"middle_name": "L",
"credential": "PA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.