Individual provider Active NPI

Joshua David Feller, PA-C

  • Medical Physician Assistant
  • East Lansing, MI
National Provider Identifier
1932188638
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601004500 Issued in MI
Practice address
2852 Eyde Pkwy
Ste 175
East Lansing, MI 48823-5378
Phone
(517) 333-4600
NPI assigned
Jan 11, 2006
Last updated
Nov 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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 5601004500 MI Primary

Addresses

Primary practice location

2852 Eyde Pkwy
Ste 175
East Lansing, MI 48823-5378

Mailing address

3955 Patient Care Dr Ste a
Lansing, MI 48911-4271
Phone (517) 374-7600

Other practice location 1

3955 Patient Care Dr Ste A
Lansing, MI 48911-4271
Phone (517) 374-7600

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
I20060223000524 MI Practitioner - Physician Assistant 6103832415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Internal Medicine Associates P.C.Group PAC ID 8022097963, 64 clinicians

Practice addresses (Care Compare)

3955 Patient Care Dr
Lansing, MI 48911-4299
Phone (517) 374-7600

3955 Patient Care Dr
Suite a
Lansing, MI 48911-4271

839 S Putnam St
Williamston Primary Care
Williamston, MI 48895-1623
Phone (517) 655-3515

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Past Accepting new patients
Oakland Urgent Care, PLLC Past Accepting new patients
Sams Physical Therapy PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: joshua.feller@cimamed.eclinicaldirectplus.com
  • Direct secure messaging: joshuafellerpac@cfpmi.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1932188638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 PATIENT CARE DR STE A",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114271",
            "telephone_number": "517-374-7600",
            "fax_number": "855-495-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2852 EYDE PKWY",
            "address_2": "STE 175",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488235378",
            "telephone_number": "517-333-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3955 Patient Care Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489114271",
            "country_code": "US",
            "telephone_number": "517-374-7600",
            "fax_number": "855-495-5457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELLER",
        "first_name": "JOSHUA",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601004500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.