EMMANUEL JOHN BART-PLANGE IV PA
NPI 1457934424
Physician Assistant in Grand Rapids, MI

Active since April 28, 2021PECOS EnrolledAccepts Medicare Assignment
25 MICHIGAN ST NE STE 6100, GRAND RAPIDS, MI 49503(616) 267-7900 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 2, 2026, Sep 10, 2024, Jun 14, 2021 and 2 more (5 updates tracked since 2021).

About Emmanuel John Bart-plange Iv Pa NPPES

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

EMMANUEL JOHN BART-PLANGE IV PA (NPI 1457934424) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601010541) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Marshfield Medical Center, and maintains a secondary practice location in Marshfield.

NPPES Registry Identity

NPI1457934424
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameEMMANUEL JOHN BART-PLANGE IVCredential: PA
Location Address25 MICHIGAN ST NE STE 6100Grand Rapids, MI 49503-2561
Mailing Address3290 W Big Beaver Rd Ste 150Troy, MI 48084-2931 · (248) 792-6527 · Fax (248) 792-9106
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 28, 2021
Last NPPES UpdateMarch 2, 20265 updates tracked since enumeration
NPPES CertifiedMarch 2, 2026
NPI 1457934424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in MI · 5601010541 Licensed in WI · 7968
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.

25 MICHIGAN ST NE STE 6100, Grand Rapids, MI 49503

Secondary Practice Location 1

Location 11000 N Oak AvenueMarshfield, WI 54449-5703 · Phone (715) 387-5511

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

Emmanuel John Bart-plange Iv Pa 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 ID3072916287
PECOS Enrollment IDI20260603001606
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

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Marshfield Medical Center

Acute Care Hospitals · Marshfield, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520037
Location611 St Joseph AveMarshfield, WI 54449 · Wood County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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.

Psychiatry & Neurology (Vascular Neurology)
25 MICHIGAN ST NE STE 6100, SPECTRUM HEALTH MEDICAL GROUP NEUROVASCULAR/STROKE OFFI
GRAND RAPIDS, MI 49503
Neurological Surgery
25 MICHIGAN ST NE STE 6100
GRAND RAPIDS, MI 49503
Physician Assistant
25 MICHIGAN ST NE STE 6100
GRAND RAPIDS, MI 49503
Physician Assistant
25 MICHIGAN ST NE STE 6100
GRAND RAPIDS, MI 49503
Psychiatry & Neurology (Neurology)
25 MICHIGAN ST NE STE 6100
GRAND RAPIDS, MI 49503
Nurse Practitioner (Family)
25 MICHIGAN ST NE STE 6100
GRAND RAPIDS, MI 49503
Nurse Practitioner
25 MICHIGAN ST NE STE 6100
GRAND RAPIDS, MI 49503
Physician Assistant
25 MICHIGAN ST NE STE 6100
GRAND RAPIDS, MI 49503

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 Emmanuel Bart-plange's NPI number?

The NPI number for Emmanuel Bart-plange is 1457934424. It was assigned to this individual provider in the NPPES registry on April 28, 2021.

Where is Emmanuel Bart-plange located?

Emmanuel Bart-plange practices at 25 Michigan St NE Ste 6100, Grand Rapids, MI 49503. The listed phone number is (616) 267-7900.

What is Emmanuel Bart-plange's specialty?

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

Is Emmanuel Bart-plange enrolled in Medicare?

Yes. Emmanuel Bart-plange 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 Emmanuel Bart-plange accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, HealthPartners and McLaren Health Plan Community and 2 other insurers list Emmanuel Bart-plange 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 Emmanuel Bart-plange affiliated with any hospitals?

According to CMS data, Emmanuel Bart-plange is affiliated with Marshfield Medical Center.

When was this NPI record last updated?

The NPPES record for Emmanuel Bart-plange was last updated on March 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.