GINA RENEE PETERSON PA
NPI 1497005474
Physician Assistant in Grand Rapids, MI

Active since September 17, 2012PECOS EnrolledAccepts Medicare Assignment
330 E BELTLINE AVE NE, SUITE 100, GRAND RAPIDS, MI 49506(616) 752-6235(616) 328-8176 Get Directions Write a Review

NPPES record last updated: October 30, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Gina Renee Peterson Pa NPPES

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

GINA RENEE PETERSON PA (NPI 1497005474) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601006479) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1497005474
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameGINA RENEE PETERSONCredential: PA
Location Address330 E BELTLINE AVE NE, SUITE 100Grand Rapids, MI 49506-1267
Mailing Address330 E Beltline Ave Ne, Suite 100Grand Rapids, MI 49506-1267 · (616) 752-6235 · Fax (616) 328-8176
Fax(616) 328-8176
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 17, 2012
Last NPPES UpdateOctober 30, 2015
NPI 1497005474 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 · 5601006479
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.

330 E BELTLINE AVE NE, Grand Rapids, MI 49506

Other Names 1

Former Name (1)Gina Renee Blodgett

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

Gina Renee Peterson 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 ID3476703166
PECOS Enrollment IDI20121015000234
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 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 40-54 minutes 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
143 services104 patients
Established patient office or other outpatient visit, 30-39 minutes 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
46 services43 patients

Hospital Affiliations CMS Care Compare 4

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

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

Mercy Health Saint Mary's

Acute Care Hospitals · Grand Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230059
Location200 Jefferson Avenue SEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Trinity Health Muskegon Hospital

Acute Care Hospitals · Muskegon, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230066
Location1500 E Sherman BlvdMuskegon, MI 49441 · Muskegon County
Emergency services Birthing friendly

Corewell Health Big Rapids Hospital

Acute Care Hospitals · Big Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230093
Location605 Oak StreetBig Rapids, MI 49307 · Mecosta County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49506 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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
2 suppliers34 claims17,700 services$1.20 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers98 claims12,397 services$0.33 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier17 claims3,740 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers40 claims6,120 services$0.19 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
7 suppliers115 claims20,250 services$0.96 avg. paid by Medicare
Pharmacy supply fee for initial immunosuppressive drug(s), first month following transplant Q0510
Treatment-Chemotherapy · category RH012N
1 supplier15 claims15 services$39.41 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

Internal Medicine (Nephrology)
330 E BELTLINE AVE NE, SUITE 100
GRAND RAPIDS, MI 49506
Internal Medicine (Nephrology)
330 E BELTLINE AVE NE, SUITE 100
GRAND RAPIDS, MI 49506
Internal Medicine (Nephrology)
330 E BELTLINE AVE NE, SUITE 100
GRAND RAPIDS, MI 49506
Dietitian, Registered
330 E BELTLINE AVE NE
GRAND RAPIDS, MI 49506
Nurse Practitioner
330 E BELTLINE AVE NE
GRAND RAPIDS, MI 49506
Internal Medicine (Nephrology)
330 E BELTLINE AVE NE, SUITE 100
GRAND RAPIDS, MI 49506
Internal Medicine (Nephrology)
330 E BELTLINE AVE NE, SUITE 100
GRAND RAPIDS, MI 49506
Internal Medicine (Nephrology)
330 E BELTLINE AVE NE, SUITE 100
GRAND RAPIDS, MI 49506

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497005474, enumerated as an "individual" on September 17, 2012.

The provider is located at 330 E BELTLINE AVE NE SUITE 100 GRAND RAPIDS, MI 49506 and the phone number is (616) 752-6235.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.

Gina Peterson is affiliated with: SPECTRUM HEALTH, MERCY HEALTH SAINT MARY'S, TRINITY HEALTH MUSKEGON HOSPITAL and COREWELL HEALTH BIG RAPIDS HOSPITAL.