Individual provider Active NPI

Dayna Roede

  • Physician Assistant
  • Grand Rapids, MI
National Provider Identifier
1801220348
Registry record updated Jul 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601006732 Issued in MI
Practice address
2680 Leonard St NE
Grand Rapids, MI 49525-6934
Phone
(616) 224-1515
NPI assigned
Aug 31, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2016

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 5601006732 MI Primary

Addresses

Primary practice location

2680 Leonard St NE
Grand Rapids, MI 49525-6934

Mailing address

5757 22ND Ave
Hudsonville, MI 49426-9444

Other names 1

  • Dayna Battermann 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
I20131120001044 MI Practitioner - Physician Assistant 0648406769 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pennock HospitalGroup PAC ID 4587551015, 79 clinicians

Practice addresses (Care Compare)

12851 W M 179 Hwy
Corewell Health Pennock Hospital
Wayland, MI 49348-9318
Phone (877) 377-7322

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601006732MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Health Saint Mary'S Medical Group Physician Assistant CurrentSince Aug 29, 2016 Accepting new patients
Spectrum Health United CurrentSince Jan 25, 2026 Accepting new patients
Pennock Hospital CurrentSince Apr 28, 2023 Accepting new patients
Spectrum Health United CurrentSince Jan 25, 2026 Accepting new patients
Advantage Health/Saint Mary'S Medical Group CurrentSince Aug 29, 2016 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Nov 28, 2022 Accepting new patients
Spectrum Health Primary Care Partners Current Accepting new patients
Pennock Hospital CurrentSince Apr 28, 2023 Accepting new patients

Locations

1227 W State St
Belding, MI 48809
Phone (616) 794-0800

10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850

9090 S Rodgers Ct SE
Caledonia, MI 49316
Phone (616) 891-0422

2680 Leonard St NE
Grand Rapids, MI 49525
Phone (616) 224-1110

2680 Leonard St NE
Ste 2
Grand Rapids, MI 49525
Phone (616) 224-1515

1005 W Green St
Ste 300
Hastings, MI 49058
Phone (269) 948-8411

2776 S State Rd
Ionia, MI 48846
Phone (616) 267-8700

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

1900 44th St SE
Kentwood, MI 49508
Phone (616) 685-8500

Interoperability endpoints

  • Direct secure messaging: droede103483@epic00.corewelldirect.org

Organizations & group practices 9

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": "1377907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1801220348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 22ND AVE",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494269444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 LEONARD ST NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495256934",
            "telephone_number": "616-224-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEDE",
        "first_name": "DAYNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-31",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAYNA",
            "last_name": "BATTERMANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.