Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

ELITE WOUND EXPERTS
NPI 1487520789
Physician Assistant in Kentwood, MI

Active since October 14, 2025
5924 BRAMALEA AVE SE, KENTWOOD, MI 49508(616) 616-5987(616) 616-6044 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 8, 2026, Jan 18, 2026 (2 updates tracked since 2026).

  • Organization
  • Physician Assistant

About ELITE WOUND EXPERTS

This page provides the complete NPI Profile along with additional information for Elite Wound Experts, a primary care provider established in Kentwood, Michigan operating as a Physician Assistant. The healthcare provider is registered in the NPI registry with number 1487520789 assigned on October 2025. The practitioner's primary taxonomy code is 363A00000X. The provider is registered as an organization and their NPI record was last updated July 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Shawna Miller (Director Of Rcm)

NPI
1487520789 Verify this NPI
Provider Name
ELITE WOUND EXPERTS
Entity Type
Organization
Location Address
5924 BRAMALEA AVE SE KENTWOOD, MI 49508
Location Phone
(616) 616-5987
Location Fax
(616) 616-6044
Mailing Address
8739 RAINBOWS END RD SE CALEDONIA, MI 49316
Mailing Phone
(616) 616-5987
Mailing Fax
(616) 616-6044
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-14-2025
Last Update Date
07-08-2026
Code Navigator

A primary care provider (PCP) like Elite Wound Experts sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHAWNA MILLER

Authorized Official Title
DIRECTOR OF RCM
Authorized Official Phone
(616) 226-5202

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Nurse Practitioner
5924 BRAMALEA AVE SE
KENTWOOD, MI 49508
Physician Assistant
5924 BRAMALEA AVE SE
KENTWOOD, MI 49508

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487520789, enumerated as an "organization" on October 14, 2025.

The provider is located at 5924 BRAMALEA AVE SE KENTWOOD, MI 49508 and the phone number is (616) 616-5987.

Physician Assistant with taxonomy code 363A00000X.