Individual provider Active NPI

Tricia Irene Lozon, PA-C

  • Physician Assistant
  • Grand Rapids, MI
National Provider Identifier
1760848634
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601007637 Issued in MI
Practice address
250 Cherry St SE Ste 2200
Grand Rapids, MI 49503-4608
Phone
(616) 685-5600
Fax
(616) 685-6745
NPI assigned
Jan 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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 5601007637 MI Primary

Addresses

Primary practice location

250 Cherry St SE Ste 2200
Grand Rapids, MI 49503-4608

Mailing address

5800 Foremost Dr SE Ste 300
Grand Rapids, MI 49546-7062
Phone (616) 954-9800

Other names 1

  • Tricia Irene Velting Former name

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
I20160128000441 MI Practitioner - Physician Assistant 2961705702 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

145 Michigan St NE
Suite 3100
Grand Rapids, MI 49503-2563
Phone (616) 954-9800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601007637MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cancer & Hematology Centers of Western Mi, P.C. CurrentSince May 1, 2017 Accepting new patients
Sparrow Clinton Hospital CurrentSince Feb 1, 2016 Accepting new patients
Spectrum Health Hospitals CurrentSince Jul 1, 2017 Accepting new patients
Spectrum Health Hospitals CurrentSince Jul 1, 2017 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

145 Michigan St NE
Ste 3100
Grand Rapids, MI 49503
Phone (616) 954-9800

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

250 Cherry St SE
Ste 2200
Grand Rapids, MI 49503
Phone (616) 685-5600

5800 Foremost Dr SE
Ste 300
Grand Rapids, MI 49546
Phone (616) 389-1725

100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680

805 S Oakland St
Saint Johns, MI 48879
Phone (989) 224-6881

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1452211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1760848634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 FOREMOST DR SE STE 300",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495467062",
            "telephone_number": "616-954-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 CHERRY ST SE STE 2200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495034608",
            "telephone_number": "616-685-5600",
            "fax_number": "616-685-6745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOZON",
        "first_name": "TRICIA",
        "middle_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-08",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRICIA",
            "last_name": "VELTING",
            "middle_name": "IRENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.