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ELIZABETH ELLEN PAYNE PA
NPI 1134552029
Physician Assistant in Grand Rapids, MI

Active since August 14, 2013PECOS Enrolled
100/100
CMS Quality Rating
4069 LAKE DR SE STE 118, GRAND RAPIDS, MI 49546(616) 267-8520 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 9, 2023, Feb 25, 2021, Sep 25, 2020 (3 updates tracked since 2020).

About Elizabeth Ellen Payne Pa NPPES

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

ELIZABETH ELLEN PAYNE PA (NPI 1134552029) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601006746) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134552029
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameELIZABETH ELLEN PAYNECredential: PA
Location Address4069 LAKE DR SE STE 118Grand Rapids, MI 49546-8816
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Phone(616) 267-8520
Sole ProprietorNo
Enumeration DateAugust 14, 2013
Last NPPES UpdateJune 9, 20233 updates tracked since enumeration
NPPES CertifiedJune 9, 2023
✔ NPI 1134552029 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 · 5601006746
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.
4069 LAKE DR SE STE 118, Grand Rapids, MI 49546
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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 (PECOS)

Elizabeth Ellen Payne Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
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.

ASHLEY GRACE HOXIE DPT
Physical Therapist
4069 LAKE DR SE STE 118
GRAND RAPIDS, MI 49546
Kent County (616) 267-8520
CLAIRE SPRICH BERKEL LMSW
Social Worker (Clinical)
4069 LAKE DR SE STE 118
GRAND RAPIDS, MI 49546
Kent County (616) 267-8520
DR. ELIZABETH MICHEL HARRIS PT
Physical Therapist
4069 LAKE DR SE STE 118
GRAND RAPIDS, MI 49546
Kent County (616) 267-8520
JULIA ANN WITTE WHNP-BC
Nurse Practitioner
4069 LAKE DR SE STE 118
GRAND RAPIDS, MI 49546
Kent County (616) 267-8520
LAURA NICOLE LOVE DNP
Nurse Practitioner (Gerontology)
4069 LAKE DR SE STE 118
GRAND RAPIDS, MI 49546
Kent County (616) 267-8520
LAURA M DEFRAIA CNP
Nurse Practitioner (Women's Health)
4069 LAKE DR SE STE 118
GRAND RAPIDS, MI 49546
Kent County (616) 267-8520
LUANN VANDERLIND ARNSON LMSW
Social Worker (Clinical)
4069 LAKE DR SE STE 118
GRAND RAPIDS, MI 49546
Kent County (616) 267-8520
BARBARA ANN MCCLURG LMSW
Social Worker (Clinical)
4069 LAKE DR SE STE 118
GRAND RAPIDS, MI 49546
Kent County (616) 267-8520

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 Elizabeth Payne's NPI number?

The NPI number for Elizabeth Payne is 1134552029. It was assigned to this individual provider in the NPPES registry on August 14, 2013.

Where is Elizabeth Payne located?

Elizabeth Payne practices at 4069 Lake Dr SE Ste 118, Grand Rapids, MI 49546. The listed phone number is (616) 267-8520.

What is Elizabeth Payne's specialty?

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

Is Elizabeth Payne enrolled in Medicare?

Yes. Elizabeth Payne is registered in the Medicare PECOS enrollment system.

What insurance does Elizabeth Payne accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and UnitedHealthcare list Elizabeth Payne 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.

When was this NPI record last updated?

The NPPES record for Elizabeth Payne was last updated on June 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.