PAYTON LANE WACLAWSKI
NPI 1376317339
Physician Assistant in Greenville, MI

Active since November 10, 2023PECOS EnrolledAccepts Medicare Assignment
828 E WASHINGTON ST, GREENVILLE, MI 48838(616) 754-7186 Get Directions Write a Review

NPPES record last updated: November 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Payton Lane Waclawski NPPES

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

PAYTON LANE WACLAWSKI (NPI 1376317339) is an individual physician assistant in Greenville, Michigan, licensed in Michigan (5601012136) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health United Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1376317339
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NamePAYTON LANE WACLAWSKI
Location Address828 E WASHINGTON STGreenville, MI 48838-2056
Mailing Address7581 Pine Park Dr SeGrand Rapids, MI 49546-9131 · (616) 304-6629
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 10, 2023
NPPES CertifiedNovember 10, 2023
NPI 1376317339 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 · 5601012136
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.
828 E WASHINGTON ST, Greenville, MI 48838

Secondary Practice Locations 2

Location 17581 Pine Park Dr SEGrand Rapids, MI 49546-9131 · Phone (616) 304-6629
Location 230600 Telegraph Rd Ste 1130Bingham Farms, MI 48025-4531 · Phone (248) 894-7219

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

Payton Lane Waclawski 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 ID345691994
PECOS Enrollment IDI20240108003979
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 6

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
247 services59 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
224 services43 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
58 services35 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
42 services32 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
29 services17 patients
Nursing facility discharge day management, 30 minutes or less 99315
Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.
22 services21 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 United Hospital

Acute Care Hospitals · Greenville, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230035
Location615 S Bower StreetGreenville, MI 48838 · Montcalm County
Birthing friendly

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48838 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.

Other Providers at the Same Location NPPES 8

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

Skilled Nursing Facility
828 E WASHINGTON ST
GREENVILLE, MI 48838
Skilled Nursing Facility
828 E WASHINGTON ST
GREENVILLE, MI 48838
Physical Therapy Assistant
828 E WASHINGTON ST
GREENVILLE, MI 48838
Occupational Therapist
828 E WASHINGTON ST
GREENVILLE, MI 48838
Skilled Nursing Facility
828 E WASHINGTON ST
GREENVILLE, MI 48838
Physical Therapist
828 E WASHINGTON ST
GREENVILLE, MI 48838
Skilled Nursing Facility
828 E WASHINGTON ST
GREENVILLE, MI 48838
Speech-Language Pathologist
828 E WASHINGTON ST
GREENVILLE, MI 48838

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 Payton Waclawski's NPI number?

The NPI number for Payton Waclawski is 1376317339. It was assigned to this individual provider in the NPPES registry on November 10, 2023.

Where is Payton Waclawski located?

Payton Waclawski practices at 828 E Washington St, Greenville, MI 48838. The listed phone number is (616) 754-7186.

What is Payton Waclawski's specialty?

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

Is Payton Waclawski enrolled in Medicare?

Yes. Payton Waclawski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Payton Waclawski accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Payton Waclawski 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 Payton Waclawski affiliated with any hospitals?

According to CMS data, Payton Waclawski is affiliated with Spectrum Health United Hospital and Spectrum Health.

When was this NPI record last updated?

The NPPES record for Payton Waclawski was last updated on November 10, 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.