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MELISSA PAKKALA HUSTAK PA-C
NPI 1063582146
Physician Assistant in Grand Rapids, MI

Active since November 08, 2006
444 MICHIGAN ST NE # MC288, GRAND RAPIDS, MI 49503(616) 267-7469 Get Directions Write a Review

NPPES record last updated: September 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 13, 2021, Feb 17, 2021, Feb 10, 2021 (3 updates tracked since 2021).

About Melissa Pakkala Hustak Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELISSA PAKKALA HUSTAK PA-C (NPI 1063582146) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601004312) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1063582146
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMELISSA PAKKALA HUSTAKCredential: PA-C
Location Address444 MICHIGAN ST NE # MC288Grand Rapids, MI 49503-3317
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560
Phone(616) 267-7469
Sole ProprietorNo
Enumeration DateNovember 8, 2006
Last NPPES UpdateSeptember 13, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2021
✔ NPI 1063582146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601004312
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
444 MICHIGAN ST NE # MC288, Grand Rapids, MI 49503
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEAH COLETTE WILLIAMS NP
Nurse Practitioner (Family)
444 MICHIGAN ST NE # MC288
GRAND RAPIDS, MI 49503
Kent County (616) 267-7469

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melissa Hustak's NPI number?

The NPI number for Melissa Hustak is 1063582146. It was assigned to this individual provider in the NPPES registry on November 8, 2006.

Where is Melissa Hustak located?

Melissa Hustak practices at 444 Michigan St NE # Mc288, Grand Rapids, MI 49503. The listed phone number is (616) 267-7469.

What is Melissa Hustak's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Melissa Hustak was last updated on September 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.