Individual provider Active NPI

Scott T Kleinert, PA

  • Medical Physician Assistant
  • Hudsonville, MI
National Provider Identifier
1841450244
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601003362 Issued in MI
Practice address
4700 32ND Ave
Hudsonville, MI 49426-8001
Phone
(616) 662-2011
Fax
(616) 662-2222
NPI assigned
Jun 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601003362 MI Primary

Addresses

Primary practice location

4700 32ND Ave
Hudsonville, MI 49426-8001

Mailing address

4700 32ND Ave
Hudsonville, MI 49426-8001
Phone (616) 662-2011

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
I20140113001661 MI Practitioner - Physician Assistant 7911135223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Partners in Family Health PLCGroup PAC ID 5597701789, 7 clinicians

Practice addresses (Care Compare)

4700 32ND Ave
Hudsonville, MI 49426-8001
Phone (616) 662-2011

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601003362MIMDMedical Physician Assistant

Organizations & group practices 1

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.

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": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1841450244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 32ND AVE",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494268001",
            "telephone_number": "616-662-2011",
            "fax_number": "616-662-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 32ND AVE",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494268001",
            "telephone_number": "616-662-2011",
            "fax_number": "616-662-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEINERT",
        "first_name": "SCOTT",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601003362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudsonville, MI

Sources for this page

Verify at the official NPI Registry.