Individual provider Active NPI

Madison Loruss, PA-C

  • Physician Assistant
  • Bay City, MI
National Provider Identifier
1720864382
Registry record updated Sep 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601012016 Issued in MI
Practice address
1900 Columbus Ave
Bay City, MI 48708-6831
Phone
(989) 894-3000
NPI assigned
Sep 7, 2023
Last updated
Sep 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601012016 MI Primary

Addresses

Primary practice location

1900 Columbus Ave
Bay City, MI 48708-6831

Mailing address

1900 Columbus Ave
Bay City, MI 48708-6831

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
I20231130001659 MI Practitioner - Physician Assistant 0941658066 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Bay RegionGroup PAC ID 5597659011, 110 clinicians

Practice addresses (Care Compare)

1900 Columbus Ave
Bay Regional
Bay City, MI 48708-6831
Phone (989) 894-3278

4 Columbus Ave
Suite 310
Bay City, MI 48708-6475
Phone (989) 377-4570

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Caro Region CurrentSince Sep 23, 2024 Accepting new patients
McLaren Thumb Region CurrentSince Sep 23, 2024 Accepting new patients
Huron Pathology Services PC Current Accepting new patients
McLaren Bay Region Physician Assistant CurrentSince Oct 31, 2023 Accepting new patients
McLaren Thumb Region CurrentSince Sep 23, 2024 Accepting new patients
McLaren Caro Region CurrentSince Sep 23, 2024 Accepting new patients
McLaren Bay Region CurrentSince Oct 31, 2023 Accepting new patients

Locations

1100 S Van Dyke Rd
Bad Axe, MI 48413
Phone (989) 269-9521

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

4 Columbus Ave
Ste 310
Bay City, MI 48708
Phone (989) 377-4570

401 N Hooper St
Caro, MI 48723
Phone (517) 673-3141

2940 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 466-2877

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1720864382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 COLUMBUS AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 COLUMBUS AVE",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487086831",
            "telephone_number": "989-894-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORUSS",
        "first_name": "MADISON",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601012016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.