SPECTRUM HEALTH MEDICAL GROUP
NPI 1275190456
Family Medicine in Wyoming, MI

Active since May 23, 2019
5500 CLYDE PARK AVE SW, WYOMING, MI 49509(616) 486-6790 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 26, 2023, Sep 7, 2022, May 23, 2019 (3 updates tracked since 2019).

About Spectrum Health Medical Group NPPES

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

SPECTRUM HEALTH MEDICAL GROUP (NPI 1275190456) is a healthcare organization registered as a family medicine in Wyoming, Michigan and active in the NPI registry since May 2019. The organization lists Ryan Catignani, Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1275190456
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSPECTRUM HEALTH PRIMARY CARE PARTNERS
Location Address5500 CLYDE PARK AVE SWWyoming, MI 49509-9525
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Organization SubpartYes
Authorized OfficialRyan CatignaniVp Finance · (947) 522-0008
Enumeration DateMay 23, 2019
Last NPPES UpdateOctober 26, 20233 updates tracked since enumeration
NPPES CertifiedOctober 26, 2023
✔ NPI 1275190456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
5500 CLYDE PARK AVE SW, Wyoming, MI 49509

Other Names 2

Doing Business AsSpectrum Health Medical Group
Doing Business AsCorewell Health Medical Group West Retail Clinic Wyoming

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spectrum Health Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20031121000091Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2,438

Medicare enrollment records show 2,438 clinicians reassign Medicare billing to Spectrum Health Medical Group, which bills Medicare for the services they deliver. Of these, 1,430 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 66

Nurse Practitioner499
Anesthesiology258
Internal Medicine257
Certified Registered Nurse Anesthetist (CRNA)203
Family Practice183
Pediatric Medicine167
Obstetrics/Gynecology89
Clinical Social Worker83
58 other specialties699

Nearest to this location (20)

See all 2,438
Family Practice
NPI 1487745980
5838 METRO WAY SW
Wyoming, MI 49519
(616) 249-5300
✔ PECOS✔ Accepts Medicare1.6 mi
Surgical Oncology
NPI 1700199809
5950 METRO WAY SW
Wyoming, MI 49519
(616) 252-8100
✔ PECOS✔ Accepts Medicare1.7 mi
Nurse Practitioner
NPI 1477876050
5900 BYRON CENTER AVE SW
Wyoming, MI 49519
(616) 252-3243
✔ PECOS1.8 mi
Anesthesiology
NPI 1871579565
5900 BYRON CENTER AVE SW
Wyoming, MI 49519
(616) 364-4200
✔ PECOS1.8 mi
Hospitalist
NPI 1154368660
5900 BYRON CENTER AVE SW
Wyoming, MI 49519
(616) 252-7200
✔ PECOS✔ Accepts Medicare1.8 mi
Cardiovascular Disease (Cardiology)
NPI 1134103732
5900 BYRON CENTER AVE SW
Wyoming, MI 49519
(616) 241-2333
✔ PECOS✔ Accepts Medicare1.8 mi
Nurse Practitioner
NPI 1851134951
5900 BYRON CENTER AVE SW
Wyoming, MI 49519
(616) 252-7200
✔ PECOS✔ Accepts Medicare1.8 mi
Anesthesiology
NPI 1679156277
5900 BYRON CENTER AVE SW
Wyoming, MI 49519
(616) 364-4200
✔ PECOS✔ Accepts Medicare1.8 mi
Certified Nurse Midwife (CNM)
NPI 1740728617
80 68TH ST SE
Grand Rapids, MI 49548
(616) 391-3302
✔ PECOS2.0 mi
Obstetrics/Gynecology
NPI 1154628600
80 68TH ST SE STE 301
Grand Rapids, MI 49548
(616) 391-3302
✔ PECOS✔ Accepts Medicare2.0 mi
Emergency Medicine
NPI 1396799136
80 68TH ST SE
Grand Rapids, MI 49548
(616) 391-8242
✔ PECOS2.0 mi
Clinical Social Worker
NPI 1932883857
80 68TH ST SE STE 202
Grand Rapids, MI 49548
(616) 267-0759
✔ PECOS✔ Accepts Medicare2.0 mi
Qualified Speech Language Pathologist
NPI 1801183991
6026 KALAMAZOO AVE #304
Kentwood, MI 49508
(313) 675-6815
3.0 mi
Internal Medicine
NPI 1952096679
4444 KALAMAZOO AVE SE STE 200
Kentwood, MI 49508
(616) 391-5600
✔ PECOS3.2 mi
Physical Therapist in Private Practice
NPI 1134621881
4444 KALAMAZOO AVE SE
Grand Rapids, MI 49508
(616) 391-5600
✔ Accepts Medicare3.2 mi
Pediatric Medicine
NPI 1366641649
1545 68TH ST SE SUITE 100
Grand Rapids, MI 49508
(616) 267-7881
✔ PECOS3.3 mi
Clinical Psychologist
NPI 1881006245
1545 68TH ST SE STE 200
Grand Rapids, MI 49508
(616) 447-5820
✔ PECOS3.3 mi
Geriatric Medicine
NPI 1578733325
7751 BYRON CENTER AVE SW STE C
Byron Center, MI 49315
(616) 267-7668
✔ PECOS✔ Accepts Medicare3.4 mi
General Practice
NPI 1144484049
4600 BRETON RD SE STE 103
Grand Rapids, MI 49508
(616) 391-2778
✔ PECOS4.1 mi
Hospice/Palliative Care
NPI 1922240480
6105 WILSON AVE SW
Grandville, MI 49418
(616) 486-5100
✔ PECOS✔ Accepts Medicare4.1 mi
See all 2,438 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Spectrum Health Primary Care Partners's NPI number?

The NPI number for Spectrum Health Primary Care Partners is 1275190456. It was assigned to this organization in the NPPES registry on May 23, 2019. The provider is doing business as Spectrum Health Medical Group and Corewell Health Medical Group West Retail Clinic Wyoming.

Where is Spectrum Health Primary Care Partners located?

Spectrum Health Primary Care Partners is located at 5500 Clyde Park Ave SW, Wyoming, MI 49509. The listed phone number is (616) 486-6790.

What is Spectrum Health Primary Care Partners's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Spectrum Health Primary Care Partners enrolled in Medicare?

Yes. Spectrum Health Primary Care Partners is registered in the Medicare PECOS enrollment system.

When is Spectrum Health Primary Care Partners's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Spectrum Health Primary Care Partners?

According to the CMS Revalidation Reassignment List (October 2026 release), 2,438 clinicians in 66 Medicare specialties reassign their Medicare billing to Spectrum Health Primary Care Partners. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (499), Anesthesiology (258) and Internal Medicine (257). Of these, 1,430 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Spectrum Health Primary Care Partners accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Spectrum Health Primary Care Partners 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 Spectrum Health Primary Care Partners was last updated on October 26, 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.