Individual provider Active NPI

Kayleigh Saucier, D.O.

  • Family Medicine Physician
  • Wyoming, MI
National Provider Identifier
1891248993
Registry record updated Oct 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101022289 Issued in MI
Practice address
5900 Byron Center Avenue SE
Wyoming, MI 49519
Phone
(616) 252-4100
NPI assigned
Jul 26, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101022289 MI Primary

Addresses

Primary practice location

5900 Byron Center Avenue SE
Wyoming, MI 49519

Mailing address

5900 Byron Center Avenue SE
Wyoming, MI 49519
Phone (616) 252-7200

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180220001630 MI Practitioner - Family Practice 8022302447 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sparrow Ionia HospitalGroup PAC ID 0042118887, 42 clinicians

Practice addresses (Care Compare)

550 E Washington St
Ionia, MI 48846-2202

550 E Washington St FL
1 Sparrow Medical Group Gastroenterology Io
Ionia, MI 48846-2202
Phone (517) 253-6320

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101022289MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Ionia Hospital Family Medicine CurrentSince Sep 1, 2019 Accepting new patients
Sparrow Ionia Hospital Current Accepting new patients
Sparrow Ionia Hospital Family Medicine CurrentSince Sep 1, 2019 Accepting new patients
Synanon Inc CurrentSince Jan 29, 2018 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

1091 S Beacon Blvd
Grand Haven, MI 49417
Phone (616) 604-0096

550 E Washington St
#2
Ionia, MI 48846

550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600

550 E Washington St
Fl 2
Ionia, MI 48846
Phone (616) 523-1600

Interoperability endpoints

  • Direct secure messaging: ksaucier64315@direct.metrohealth.net
  • Direct secure messaging: ksaucier74006@sparrowdirecthie.org

Organizations & group practices 4

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 4

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": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506988800000",
    "number": "1891248993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 BYRON CENTER AVENUE SE",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "49519",
            "telephone_number": "616-252-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 BYRON CENTER AVENUE SE",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "49519",
            "telephone_number": "616-252-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUCIER",
        "first_name": "KAYLEIGH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2017-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101022289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

Verify at the official NPI Registry.