Active NPI
Elizabeth Ann Heyboer, PA-C
- Physician Assistant
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601003823
- Practice address
- 250 Cherry St SE Ste 2200
Grand Rapids, MI 49503-4608 - Phone
- (616) 685-5600
- Fax
- (616) 685-6745
- NPI assigned
- Jun 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601003823 | 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
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Metropolitan Hospital
Practice addresses (Care Compare)
10047 Crossroad CT SE
Caledonia, MI 49316-7316
Phone (616) 685-8850
200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Phone (616) 685-5000
220 Cherry St SE
Grand Rapids, MI 49503-4608
Phone (616) 685-5050
250 Cherry St SE
Grand Rapids, MI 49503-4608
Phone (616) 685-5600
5900 Byron Ctr Ave
Wyoming, MI 49519-9606
5900 Byron Ctr Ave SW
Wyoming, MI 49519-9606
Phone (616) 252-3243
5900 Byron Ctr Swave
Wyoming, MI 49519-9606
Phone (616) 252-7200
5950 Metro Way SW
Wyoming, MI 49519-9514
Phone (616) 252-8100
Hospital & facility affiliations
- Mercy Health Saint Mary'S
- University of Michigan Health - West
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Health Hospitals | Current | Accepting new patients | |
| Metropolitan Hospital | Current | Accepting new patients | |
| Metropolitan Hospital | Current | Accepting new patients | |
| Cancer & Hematology Centers of Western Mi, P.C. | Current | Accepting new patients | |
| Metropolitan Hospital | Current | Accepting new patients | |
| Advantage Health Saint Mary'S Medical Group | Physician Assistant | Current | Accepting new patients |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Spectrum Health Hospitals | Current | Accepting new patients | |
| Pine Rest Christian Mental Health Services | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Advantage Health/Saint Mary'S Medical Group | Current | Accepting new patients | |
| Pine Rest Christian Mental Health Services | Current | Accepting new patients | |
| Metropolitan Enterprises Inc. | Physician Assistant | Past | Accepting new patients |
| Metropolitan Hospital | Past | Accepting new patients | |
| Metropolitan Hospital | Past | Accepting new patients | |
| Infusion Associates PLLC | Past | Accepting new patients | |
| Metropolitan Hospital | Past | Accepting new patients |
Locations
10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850
4200 Division Ave N
Comstock Park, MI 49321
Phone (616) 252-1600
4055 Cascade Rd SE
Grand Rapids, MI 49546
Phone (616) 252-4410
5800 Foremost Dr SE
Ste 300
Grand Rapids, MI 49546
Phone (616) 389-1725
1925 Breton Rd SE
Grand Rapids, MI 49506
Phone (616) 252-4100
250 Cherry St SE
Ste 2200
Grand Rapids, MI 49503
Phone (616) 685-5600
2249 Wealthy St SE
Ste 110
Grand Rapids, MI 49506
Phone (616) 391-4600
145 Michigan St NE
Ste 3100
Grand Rapids, MI 49503
Phone (616) 954-9800
100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680
5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243
300 68th St SE
Wyoming, MI 49548
Phone (616) 455-5000
5950 Metro Way SW
Wyoming, MI 49519
Phone (616) 252-8100
2215 44th St SW
Ste 201
Wyoming, MI 49519
Phone (616) 252-8300
Interoperability endpoints
- eheyboer194269@direct.trinity-health.org
Organizations & group practices 19
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.
-
- Multi-Specialty Clinic/Center
- Grand Rapids, MI
- NPI 1376862151
-
- Hematology & Oncology Physician
- Wyoming, MI
- NPI 1487813200
-
- Internal Medicine Physician
- Wyoming, MI
- NPI 1811937519
-
- General Practice Physician
- Grand Rapids, MI
- NPI 1851309884
-
- Hospitalist Physician
- Grand Rapids, MI
- NPI 1558407189
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1235188673
-
- Specialist
- Grand Rapids, MI
- NPI 1528018389
-
- Orthopaedic Surgery Physician
- Byron Center, MI
- NPI 1003515008
Physician Assistant
-
- Clinic/Center
- Sparta, MI
- NPI 1760599906
-
- Rheumatology Physician
- Grand Rapids, MI
- NPI 1467017434
-
- Infusion Therapy Clinic/Center
- Wyoming, MI
- NPI 1255807178
-
- Professional Counselor
- Grand Rapids, MI
- NPI 1386015683
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wyoming, MI
- NPI 1619923919
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1639111057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584403200000",
"number": "1912936378",
"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": "HEYBOER",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2020-03-17",
"certification_date": "2020-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601003823",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.