KATHERINE MURILLO
NPI 1174183057
Physician Assistant in Grand Rapids, MI

Q: What is Katherine Murillo's NPI number?

The NPI number for Katherine Murillo is 1174183057. It was assigned to this individual provider in the NPPES registry on June 13, 2019.

Q: What is Katherine Murillo's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Katherine Murillo was last updated on March 24, 2022. 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.

Active since June 13, 2019PECOS EnrolledAccepts Medicare Assignment

1211 LAFAYETTE AVE NE, GRAND RAPIDS, MI 49505(616) 336-8800 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 23, 2021, Jun 13, 2019 (2 updates tracked since 2019).

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About Katherine Murillo NPPES

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

KATHERINE MURILLO (NPI 1174183057) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601009210) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1174183057

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKATHERINE MURILLO

Location Address1211 LAFAYETTE AVE NEGrand Rapids, MI 49505-5092

Mailing Address1211 Lafayette Ave NeGrand Rapids, MI 49505-5092 · (616) 336-8800

Phone(616) 336-8800

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 13, 2019

Last NPPES UpdateMarch 24, 20222 updates tracked since enumeration

NPPES CertifiedMarch 24, 2022

✔ NPI 1174183057 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 · 5601009210

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.

1211 LAFAYETTE AVE NE, Grand Rapids, MI 49505

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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

Katherine Murillo 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 ID4981938586

PECOS Enrollment IDI20190702001885

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.

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49505 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.

Other Providers at the Same Location NPPES 8

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

MEGAN ANN DEMAAGD-RODRIGUEZ FNP-C

Nurse Practitioner