MRS. HEATHER MEDEMA PA-C
NPI 1326186735
Physician Assistant - Medical in Grand Rapids, MI

Active since February 01, 2007PECOS Enrolled
436 44TH ST SE, STE A, GRAND RAPIDS, MI 49548(616) 531-9750(616) 531-9710 Get Directions Write a Review

NPPES record last updated: June 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Heather Medema Pa-c NPPES

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

MRS. HEATHER MEDEMA PA-C (NPI 1326186735) is an individual medical provider in Grand Rapids, Michigan, licensed in Michigan (5601003365) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326186735
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. HEATHER MEDEMACredential: PA-C
Location Address436 44TH ST SE, STE AGrand Rapids, MI 49548-4371
Mailing Address436 44th St Se, Ste AGrand Rapids, MI 49548-4371 · (616) 531-9750 · Fax (616) 531-9710
Fax(616) 531-9710
Sole ProprietorNo
Enumeration DateFebruary 1, 2007
Last NPPES UpdateJune 10, 2015
NPI 1326186735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MI · 5601003365
436 44TH ST SE, Grand Rapids, MI 49548

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Heather Medema Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Community/Behavioral Health
436 44TH ST SE, SUITE C
GRAND RAPIDS, MI 49548
Physician Assistant
436 44TH ST SE
KENTWOOD, MI 49548
Physician Assistant
436 44TH ST SE, SUITE A
GRAND RAPIDS, MI 49548
Clinic/Center (Urgent Care)
436 44TH ST SE, SUITE A
GRAND RAPIDS, MI 49548
Physical Therapy Assistant
436 44TH ST SE, STE A
GRAND RAPIDS, MI 49548
Physician Assistant
436 44TH ST SE
KENTWOOD, MI 49548
Clinic/Center (Urgent Care)
436 44TH ST SE, SUITE A
GRAND RAPIDS, MI 49548
Physical Therapist
436 44TH ST SE
KENTWOOD, MI 49548

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 Heather Medema's NPI number?

The NPI number for Heather Medema is 1326186735. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is Heather Medema located?

Heather Medema practices at 436 44th St SE Ste A, Grand Rapids, MI 49548. The listed phone number is (616) 531-9750.

What is Heather Medema's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Heather Medema enrolled in Medicare?

Yes. Heather Medema is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Heather Medema was last updated on June 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.