Individual provider Active NPI

Rachel Lauren Zokoe

  • Medical Physician Assistant
  • Grand Rapids, MI
National Provider Identifier
1740839505
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601009425 Issued in MI
Practice address
743 E Beltline Ave NE
Grand Rapids, MI 49525-6045
Phone
(616) 320-0096
NPI assigned
Sep 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Medical Physician Assistant 363AM0700X 5601009425 MI Primary

Addresses

Primary practice location

743 E Beltline Ave NE
Grand Rapids, MI 49525-6045

Mailing address

1574 Mount Mercy Dr NW
Grand Rapids, MI 49504-4905

Other practice location 1

4085 Burton St SE
Grand Rapids, MI 49546-2444
Phone (616) 320-0096

Other practice location 2

5050 33rd St SE
Grand Rapids, MI 49512-2068
Phone (616) 320-0096

Other practice location 3

3300 36th St SE
Grand Rapids, MI 49512-2810
Phone (616) 320-0096

Other practice location 4

2100 Raybrook St SE # 100B
Grand Rapids, MI 49546-7759
Phone (616) 320-0096

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
I20190919000940 MI Practitioner - Physician Assistant 5799015616 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Fred PLLC Medical CurrentSince May 26, 2024 Accepting new patients

Locations

743 E Beltline Ave NE
Grand Rapids, MI 49525
Phone (616) 456-9553

5050 33rd St SE
Grand Rapids, MI 49512
Phone (616) 320-0096

4085 Burton St SE
Grand Rapids, MI 49546
Phone (616) 284-8888

2100 Raybrook St SE
Ste 100B
Grand Rapids, MI 49546
Phone 6163200096 ext. 00096

3300 36th St SE
Kentwood, MI 49512
Phone (616) 942-7294

Interoperability endpoints

  • Direct secure messaging: rachel.zokoe@799501387825156.direct.elationemr.com

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1740839505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1574 MOUNT MERCY DR NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495044905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 E BELTLINE AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495256045",
            "telephone_number": "616-320-0096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4085 Burton St SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495462444",
            "country_code": "US",
            "telephone_number": "616-320-0096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5050 33rd St SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495122068",
            "country_code": "US",
            "telephone_number": "616-320-0096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 36th St SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495122810",
            "country_code": "US",
            "telephone_number": "616-320-0096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Raybrook St SE # 100B",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495467759",
            "country_code": "US",
            "telephone_number": "616-320-0096",
            "fax_number": "616-320-0097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZOKOE",
        "first_name": "RACHEL",
        "middle_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-05",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601009425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.