MICHELLE WORTHINGTON PA-C
NPI 1265840839
Physician Assistant in Grand Rapids, MI

Q: What is Michelle Worthington's NPI number?

The NPI number for Michelle Worthington is 1265840839. It was assigned to this individual provider in the NPPES registry on July 28, 2014.

Q: What is Michelle Worthington's specialty?

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

Active since July 28, 2014PECOS EnrolledAccepts Medicare Assignment

4100 LAKE DR SE STE B01, GRAND RAPIDS, MI 49546(616) 267-7400 Get Directions Write a Review

NPPES record last updated: February 23, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 23, 2021, Nov 26, 2018 (2 updates tracked since 2018).

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About Michelle Worthington Pa-c NPPES

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

MICHELLE WORTHINGTON PA-C (NPI 1265840839) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601007062) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1265840839

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMICHELLE WORTHINGTONCredential: PA-C

Location Address4100 LAKE DR SE STE B01Grand Rapids, MI 49546-8292

Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560

Phone(616) 267-7400

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateJuly 28, 2014

Last NPPES UpdateFebruary 23, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 23, 2021

✔ NPI 1265840839 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 · 5601007062

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.

4100 LAKE DR SE STE B01, Grand Rapids, MI 49546

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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

Michelle Worthington 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 ID3274751508

PECOS Enrollment IDI20140828002320

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

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

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.

Other Providers at the Same Location NPPES 11

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

LUCAS PATRICK FRIEDLI DO

Family Medicine