Individual provider Active NPI

Emily Korneffel, PA

  • Physician Assistant
  • Lansing, MI
National Provider Identifier
1952868846
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601008910 Issued in MI
Practice address
1540 Lake Lansing Rd Ste 102
Lansing, MI 48912-3757
Phone
(517) 913-3810
Fax
(517) 913-3811
NPI assigned
Feb 27, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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 5601008910 MI Primary

Addresses

Primary practice location

1540 Lake Lansing Rd Ste 102
Lansing, MI 48912-3757

Mailing address

444 High Point Dr Apt 8
Mason, MI 48854-2908
Phone (517) 896-1046

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
I20190411002291 MI Practitioner - Physician Assistant 9537400908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Greater LansingGroup PAC ID 7214833466, 96 clinicians

Practice addresses (Care Compare)

1540 Lake Lansing Rd
Lansing, MI 48912-3757

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601008910MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Greater Lansing Physician Assistant CurrentSince May 1, 2019 Accepting new patients
McLaren Greater Lansing Past Accepting new patients

Locations

1540 Lake Lansing Rd
Ste 201
Lansing, MI 48912
Phone (517) 913-3900

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

1540 Lake Lansing Rd
Ste 107
Lansing, MI 48912
Phone (517) 913-3800

1540 Lake Lansing Rd
Ste 102
Lansing, MI 48912
Phone (517) 913-3810

Organizations & group practices 2

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 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": "1551225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1952868846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 HIGH POINT DR APT 8",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488542908",
            "telephone_number": "517-896-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 LAKE LANSING RD STE 102",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123757",
            "telephone_number": "517-913-3810",
            "fax_number": "517-913-3811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORNEFFEL",
        "first_name": "EMILY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601008910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.