MRS. ERICA J NYMAN PA-C
NPI 1316071301
Physician Assistant in Grand Rapids, MI

Active since March 14, 2007Opted out of Medicare · through Jan 1, 2028
100/100
CMS Quality Rating
5005 CASCADE RD SE STE B, GRAND RAPIDS, MI 49546(616) 319-4288(616) 426-6991 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 11, 2025, Jan 23, 2023, Feb 24, 2021 and 2 more (5 updates tracked since 2016).

About Mrs. Erica J Nyman Pa-c NPPES

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

MRS. ERICA J NYMAN PA-C (NPI 1316071301) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601004259) and active in the NPI registry since March 2007. She has opted out of Medicare through January 1, 2028 and remains eligible to order and refer, is affiliated with Spectrum Health, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1316071301
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. ERICA J NYMANCredential: PA-C
Location Address5005 CASCADE RD SE STE BGrand Rapids, MI 49546-8411
Mailing Address5005 Cascade Rd Se Ste BGrand Rapids, MI 49546-8411 · (616) 319-4288 · Fax (616) 426-6991
Fax(616) 426-6991
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMarch 14, 2007
Last NPPES UpdateDecember 11, 20255 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
NPI 1316071301 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 · 5601004259
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.
5005 CASCADE RD SE STE B, Grand Rapids, MI 49546

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Mrs. Erica J Nyman Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2026 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2026
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
25 services13 patients

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

Corewell Health Pennock Hospital

Critical Access Hospitals · Hastings, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number231339
Location1009 W Green StHastings, MI 49058 · Barry 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.

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

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers17 claims35 services$6.43 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Erica Nyman's NPI number?

The NPI number for Erica Nyman is 1316071301. It was assigned to this individual provider in the NPPES registry on March 14, 2007.

Where is Erica Nyman located?

Erica Nyman practices at 5005 Cascade Rd SE Ste B, Grand Rapids, MI 49546. The listed phone number is (616) 319-4288.

What is Erica Nyman's specialty?

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

Is Erica Nyman enrolled in Medicare?

No. Erica Nyman has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Erica Nyman accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and UnitedHealthcare list Erica Nyman 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.

Is Erica Nyman affiliated with any hospitals?

According to CMS data, Erica Nyman is affiliated with Spectrum Health and Corewell Health Pennock Hospital.

When was this NPI record last updated?

The NPPES record for Erica Nyman was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.