Javin Hastin Brita, PA-C
Individual provider Active NPI Physician Assistant · Grand Rapids, MI
NPI 1992298681 · NPPES record last updated Apr 22, 2024
Key facts
- NPI
- 1992298681
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5601011897 (MI)
- Practice address
- 145 Michigan St NE Ste 5200
Grand Rapids, MI 49503-2565 - Phone
- (616) 486-6700
- NPI assigned
- Jun 7, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Spectrum Health Primary Care Partners
Newaygo County General Hospital Association
Practice addresses (Care Compare)
145 Michigan St NE
4100 Corewell Health Medical Group West
Grand Rapids, MI 49503-2567
Phone (616) 486-6314
145 Michigan St NE
5500 Corewell Health Medical Group West
Grand Rapids, MI 49503-2565
Phone (616) 267-8540
212 S Sullivan Ave
Corewell Health Gerber Hospital
Fremont, MI 49412-1548
Phone (231) 924-1212
230 W Oak St
Corewell Health Gerber Hospital
Fremont, MI 49412-1526
Phone (231) 924-4200
4069 Lake Dr SE
Grand Rapids, MI 49546-8816
4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600
Hospital & facility affiliations
- Spectrum Health
- Spectrum Health United Hospital
- Corewell Health Zeeland Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240226001673 | MI | Practitioner - Physician Assistant | 5395095285 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23.004110 | CT | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Medical Center of West Michigan | Current |
Accepting new patients | |
| Pennock Hospital | Current |
Accepting new patients | |
| Pennock Hospital | Current |
Accepting new patients | |
| Spectrum Health United | Current |
Accepting new patients | |
| Reed City Hospital Corporation | Current |
Accepting new patients | |
| Spectrum Health Primary Care Partners | Current | Accepting new patients | |
| Spectrum Health Primary Care Partners | Current |
Accepting new patients | |
| Newaygo County General Hospital Association | Current |
Accepting new patients | |
| Newaygo County General Hospital Association | Current |
Accepting new patients | |
| Reed City Hospital Corporation | Current |
Accepting new patients | |
| Memorial Medical Center of West Michigan | Current |
Accepting new patients |
Locations
1227 W State St
Belding, MI 48809
Phone (616) 794-0800
212 S Sullivan Ave
Fremont, MI 49412
Phone (231) 924-1212
145 Michigan St NE
Ste 5200
Grand Rapids, MI 49503
Phone (616) 486-5933
100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242
1005 W Green St
Ste 300
Hastings, MI 49058
Phone (269) 948-8411
4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600
1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591
300 N Patterson Rd
Reed City, MI 49677
Phone (231) 832-3271
Interoperability endpoints
- jbrita2047905@epic00.corewelldirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 23.004110 | CT | |
| Physician Assistant | 363A00000X | 5601011897 | MI | Yes |
Addresses
Primary practice location
145 Michigan St NE Ste 5200
Grand Rapids, MI 49503-2565
Mailing address
100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560
Other providers in Grand Rapids, MI
- Ruth Ann Brintnall
- Daria Brinzevich
- Bryan H Briske
- Joseph Brisson
- Steven James Bristol
- Amy Elizabeth Britcher
- Luz Maria Brito-Avelino
- Allison J Brito
- Israel Alejandro Brito
- Rose Britt
All providers in Grand Rapids, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.