MISS CHRISTINE SUZANNE MARTIN PAC
NPI 1174617815
Physician Assistant - Medical in Grand Rapids, MI
About Miss Christine Suzanne Martin Pac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS CHRISTINE SUZANNE MARTIN PAC (NPI 1174617815) is an individual medical provider in Grand Rapids, Michigan, licensed in Michigan (5601004837) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted 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)
Miss Christine Suzanne Martin Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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.
GRAND RAPIDS, MI 49503
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 Christine Martin's NPI number?
The NPI number for Christine Martin is 1174617815. It was assigned to this individual provider in the NPPES registry on October 3, 2006.
Where is Christine Martin located?
Christine Martin practices at 100 Michigan St NE Suite A721, Grand Rapids, MI 49503. The listed phone number is (616) 974-4493.
What is Christine Martin's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Christine Martin enrolled in Medicare?
Yes. Christine Martin is registered in the Medicare PECOS enrollment system.
What insurance does Christine Martin accept?
Health plans from Priority Health list Christine Martin 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 Christine Martin was last updated on February 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Miss Christine Suzanne Martin, PAC · NPI 1174617815
Medical physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since October 3, 2006.
## Identity
- **NPI:** 1174617815 (Entity type: Individual)
- **Enumerated:** October 3, 2006
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 5601004837 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 100 MICHIGAN ST NE, SUITE A721, Grand Rapids, MI 49503-2560
- **Phone:** (616) 974-4493
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** February 26, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1174617815) · Data from the CMS NPPES public registry.