Individual provider Active NPI

Elizabeth Ann Heyboer, PA-C

  • Physician Assistant
  • Grand Rapids, MI
National Provider Identifier
1912936378
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601003823 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
Jun 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060228000487 MI Practitioner - Physician Assistant 5597771550 Reassigns benefits to 7 organizations

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
Advantage Health/Saint Mary'S Medical GroupGroup PAC ID 4082807961, 499 clinicians
Metropolitan HospitalGroup PAC ID 5597651836, shared by 3 NPIs, 421 clinicians

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 Hospital, Grand Rapids, MI, CCN 230059
  • University of Michigan Health - West Hospital, Wyoming, MI, CCN 230236

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Health Hospitals CurrentSince Oct 3, 2011 Accepting new patients
Metropolitan Hospital CurrentSince Nov 1, 2024 Accepting new patients
Metropolitan Hospital CurrentSince Nov 1, 2024 Accepting new patients
Cancer & Hematology Centers of Western Mi, P.C. CurrentSince Jul 27, 2015 Accepting new patients
Metropolitan Hospital CurrentSince Nov 1, 2024 Accepting new patients
Advantage Health Saint Mary'S Medical Group Physician Assistant CurrentSince Sep 15, 2024 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Sep 15, 2008 Accepting new patients
Spectrum Health Hospitals CurrentSince Oct 3, 2011 Accepting new patients
Pine Rest Christian Mental Health Services CurrentSince Jul 24, 2014 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Sep 15, 2008 Accepting new patients
Advantage Health/Saint Mary'S Medical Group CurrentSince Sep 15, 2024 Accepting new patients
Pine Rest Christian Mental Health Services CurrentSince Jul 24, 2014 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 PastSince Apr 1, 2002 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

  • Direct secure messaging: 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.

View all 19

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": "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

Verify at the official NPI Registry.