RACHEL S BALKEMA PA-C
NPI 1356776207
Physician Assistant in Muskegon, MI

Active since September 11, 2013PECOS EnrolledAccepts Medicare Assignment
81.63/100
CMS Quality Rating
1150 E SHERMAN BLVD STE 2400, MUSKEGON, MI 49444(231) 672-4243(231) 727-4214 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 16, 2023, Dec 16, 2021 (2 updates tracked since 2021).

About Rachel S Balkema Pa-c NPPES

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

RACHEL S BALKEMA PA-C (NPI 1356776207) is an individual physician assistant in Muskegon, Michigan, licensed in Michigan (5601006791) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS, is affiliated with Trinity Health Muskegon Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1356776207
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameRACHEL S BALKEMACredential: PA-C
Location Address1150 E SHERMAN BLVD STE 2400Muskegon, MI 49444-1886
Mailing Address1150 E Sherman Blvd Ste 2400Muskegon, MI 49444-1886 · (231) 672-4243 · Fax (231) 727-4214
Fax(231) 727-4214
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 11, 2013
Last NPPES UpdateOctober 14, 20242 updates tracked since enumeration
NPPES CertifiedOctober 14, 2024
NPI 1356776207 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 · 5601006791
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.

1150 E SHERMAN BLVD STE 2400, Muskegon, MI 49444

Other Names 1

Former Name (1)Rachel S Wittum Pa-c

Secondary Practice Locations 2

Location 11675 Leahy St, Suite 401BMuskegon, MI 49442-5500 · Phone (231) 727-4243 · Fax (231) 727-4214
Location 21310 Wisconsin St Ste 200Grand Haven, MI 49417-2472 · Phone (616) 296-1640 · Fax (616) 296-1642

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 and accepts Medicare assignment

Rachel S Balkema 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 ID5698901056
PECOS Enrollment IDI20131113002260
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
65 services51 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
62 services45 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trinity Health Muskegon Hospital

Acute Care Hospitals · Muskegon, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230066
Location1500 E Sherman BlvdMuskegon, MI 49441 · Muskegon County
Emergency services Birthing friendly

Mercy Health Lakeshore Campus

Critical Access Hospitals · Shelby, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number231320
Location72 South State StreetShelby, MI 49455 · Oceana County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49444 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.

81.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.85
Improvement Activities20
Cost58.94

Other Providers at the Same Location NPPES 18

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

Neuromusculoskeletal Medicine & OMM
1150 E SHERMAN BLVD STE 2400
MUSKEGON, MI 49444
Neuromusculoskeletal Medicine & OMM
1150 E SHERMAN BLVD STE 2400
MUSKEGON, MI 49444
Physician Assistant
1150 E SHERMAN BLVD STE 2400
MUSKEGON, MI 49444
Physician Assistant
1150 E SHERMAN BLVD STE 2400
MUSKEGON, MI 49444
Physician Assistant
1150 E SHERMAN BLVD STE 2400
MUSKEGON, MI 49444
Neurological Surgery
1150 E SHERMAN BLVD STE 2400
MUSKEGON, MI 49444
Physical Medicine & Rehabilitation
1150 E SHERMAN BLVD STE 2400
MUSKEGON, MI 49444
Physician Assistant
1150 E SHERMAN BLVD STE 2400
MUSKEGON, MI 49444

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356776207, enumerated as an "individual" on September 11, 2013.

The provider is located at 1150 E SHERMAN BLVD STE 2400 MUSKEGON, MI 49444 and the phone number is (231) 672-4243.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.

Rachel Balkema is affiliated with: TRINITY HEALTH MUSKEGON HOSPITAL and MERCY HEALTH LAKESHORE CAMPUS.