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MRS. BRENDA JO WHARTON PA-C
NPI 1093815144
Physician Assistant - Medical in Grand Rapids, MI

Active since September 25, 2006PECOS EnrolledAccepts Medicare Assignment
97.45/100
CMS Quality Rating
25 MICHIGAN ST NE, SUITE 3300, GRAND RAPIDS, MI 49503(616) 459-4171(616) 459-0044 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 20, 2023, Mar 16, 2023, Sep 29, 2022 (3 updates tracked since 2022).

About Mrs. Brenda Jo Wharton Pa-c NPPES

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

MRS. BRENDA JO WHARTON PA-C (NPI 1093815144) is an individual medical provider in Grand Rapids, Michigan, licensed in Michigan (5601004126) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1093815144
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. BRENDA JO WHARTONCredential: PA-C
Location Address25 MICHIGAN ST NE, SUITE 3300Grand Rapids, MI 49503-2515
Mailing Address20952 E 12 Mile Rd Ste 200Saint Clair Shores, MI 48081-3203 · (586) 771-4820
Phone(616) 459-4171
Fax(616) 459-0044
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateSeptember 25, 2006
Last NPPES UpdateJanuary 30, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2024
✔ NPI 1093815144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MI · 5601004126
25 MICHIGAN ST NE, Grand Rapids, MI 49503
Open in Google Maps ↗

Other Identifiers 1

Other382285194MI · Tax Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Brenda Jo Wharton Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507852001
PECOS Enrollment IDI20040421000917
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
61 services57 patients
Manual urinalysis test with examination using microscope, non-automated 81000
A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.
26 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services17 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
13 services12 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

University Of Michigan Health - West

Acute Care Hospitals · Wyoming, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230236
Location5900 Byron Center Avenue, SWWyoming, MI 49519 · Kent County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

97.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability97
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

DR. MARCOS ITAMAR CORDOBA MUNOZ M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
25 MICHIGAN ST NE, MATERNAL FETAL MEDICINE DEPT
GRAND RAPIDS, MI 49503
Kent County (616) 391-3681
MRS. SARAH L KLEMM M.S., CGC
Genetic Counselor, MS
25 MICHIGAN ST NE, SUITE 2000
GRAND RAPIDS, MI 49503
Kent County (616) 391-2700
CHRISTOPHER RATNASAMY MD
Internal Medicine (Interventional Cardiology)
25 MICHIGAN ST NE, SUITE 4300
GRAND RAPIDS, MI 49503
Kent County (616) 267-9150
DR. JOHN GLENN ANEMA M.D.
Urology
25 MICHIGAN ST NE, SUITE 3300
GRAND RAPIDS, MI 49503
Kent County (616) 459-4171
NEAL D HILLMAN MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
25 MICHIGAN ST NE, SUITE 4300
GRAND RAPIDS, MI 49503
Kent County (616) 267-9150
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Neurological Surgery
25 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 267-7900
DR. GEORGE FRANCIS STEINHARDT M.D.
Urology
25 MICHIGAN ST NE, SUITE 3300
GRAND RAPIDS, MI 49503
Kent County (616) 459-4171
ABBY JAYNE ROGERS PA-C
Physician Assistant
25 MICHIGAN ST NE, SUITE 6100
GRAND RAPIDS, MI 49503
Kent County (616) 267-7900

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 Brenda Wharton's NPI number?

The NPI number for Brenda Wharton is 1093815144. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Where is Brenda Wharton located?

Brenda Wharton practices at 25 Michigan St NE Suite 3300, Grand Rapids, MI 49503. The listed phone number is (616) 459-4171.

What is Brenda Wharton's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Brenda Wharton enrolled in Medicare?

Yes. Brenda Wharton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Brenda Wharton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Brenda Wharton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Brenda Wharton affiliated with any hospitals?

According to CMS data, Brenda Wharton is affiliated with Spectrum Health and University Of Michigan Health - West.

When was this NPI record last updated?

The NPPES record for Brenda Wharton was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.