GREAT LAKES NEUROSURGICAL ASSOCIATES, PC
NPI 1366590929
Neurological Surgery in Grand Rapids, MI
About Great Lakes Neurosurgical Associates, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREAT LAKES NEUROSURGICAL ASSOCIATES, PC (NPI 1366590929) is a healthcare organization registered as a neurological surgery in Grand Rapids, Michigan and active in the NPI registry since January 2007. The organization lists Lisa Santos, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 6
Group Practice 1
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)
Great Lakes Neurosurgical Associates, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
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.
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Great Lakes Neurosurgical Associates, PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Grand Rapids, MI 49525
Grand Rapids, MI 49525
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 Great Lakes Neurosurgical Associates, PC's NPI number?
The NPI number for Great Lakes Neurosurgical Associates, PC is 1366590929. It was assigned to this organization in the NPPES registry on January 8, 2007.
Where is Great Lakes Neurosurgical Associates, PC located?
Great Lakes Neurosurgical Associates, PC is located at 3350 Eagle Park Dr NE Ste 102, Grand Rapids, MI 49525. The listed phone number is (616) 454-3465.
What is Great Lakes Neurosurgical Associates, PC's specialty?
The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.
Is Great Lakes Neurosurgical Associates, PC enrolled in Medicare?
Yes. Great Lakes Neurosurgical Associates, PC is registered in the Medicare PECOS enrollment system.
When is Great Lakes Neurosurgical Associates, PC'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 October 31, 2026. 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 Great Lakes Neurosurgical Associates, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Great Lakes Neurosurgical Associates, PC. 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 Neurosurgery (6) and Nurse Practitioner (1). Of these, 2 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Great Lakes Neurosurgical Associates, PC accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Great Lakes Neurosurgical Associates, PC 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 Great Lakes Neurosurgical Associates, PC was last updated on October 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.