SPECTRUM HEALTH PRIMARY CARE PARTNERS
NPI 1386959856
Podiatrist - Foot & Ankle Surgery in Grand Rapids, MI
About Spectrum Health Primary Care Partners NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SPECTRUM HEALTH PRIMARY CARE PARTNERS (NPI 1386959856) is a healthcare organization registered as a foot & ankle surgery in Grand Rapids, Michigan and active in the NPI registry since August 2010. The organization lists Pauline Krywanski, Svp, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
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)
Spectrum Health Primary Care Partners is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
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
2,439Medicare enrollment records show 2,439 clinicians reassign Medicare billing to Spectrum Health Primary Care Partners, which bills Medicare for the services they deliver. Of these, 54 practice at this address and 1,494 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 66
Nearest to this location (20)
See all 2,439Source: 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 Spectrum Health Primary Care Partners's NPI number?
The NPI number for Spectrum Health Primary Care Partners is 1386959856. It was assigned to this organization in the NPPES registry on August 9, 2010.
Where is Spectrum Health Primary Care Partners located?
Spectrum Health Primary Care Partners is located at 4069 Lake Dr SE Suite 315, Grand Rapids, MI 49546. The listed phone number is (616) 464-2810.
What is Spectrum Health Primary Care Partners's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Spectrum Health Primary Care Partners enrolled in Medicare?
Yes. Spectrum Health Primary Care Partners is registered in the Medicare PECOS enrollment system.
When is Spectrum Health Primary Care Partners'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 March 31, 2027. 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 Spectrum Health Primary Care Partners?
According to the CMS Revalidation Reassignment List (October 2026 release), 2,439 clinicians in 66 Medicare specialties reassign their Medicare billing to Spectrum Health Primary Care Partners. 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 Nurse Practitioner (500), Anesthesiology (258) and Internal Medicine (257). Of these, 54 practice at this address and 1,494 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Spectrum Health Primary Care Partners was last updated on December 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Spectrum Health Primary Care Partners · NPI 1386959856
Foot & Ankle Surgery organization in Grand Rapids, Michigan. Organization record, active in the CMS NPPES registry since August 9, 2010.
## Identity
- **NPI:** 1386959856 (Entity type: Organization)
- **Enumerated:** August 9, 2010
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **Organization subpart:** Yes (part of Spectrum Health Primary Care Partners)
- **Authorized official:** Pauline Krywanski, SVP
## Practice location
- **Address:** 4069 LAKE DR SE, SUITE 315, Grand Rapids, MI 49546-8816
- **Phone:** (616) 464-2810
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Michigan, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2,439 clinicians in 66 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (500), Anesthesiology (258), Internal Medicine (257); 54 practice at this address and 1,494 within 10 miles; [full list](https://npiprofile.com/npi/1386959856/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 2, 2010
- **Other identifiers:** Medicare PIN 0M74460 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1386959856) · Data from the CMS NPPES public registry.