ERIN KAVANAGH KOONTZ PA-C
NPI 1518395474
Physician Assistant - Surgical in Grand Rapids, MI

Active since October 30, 2013PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
221 MICHIGAN ST NE STE 400, GRAND RAPIDS, MI 49503(616) 486-9600 Get Directions Write a Review

NPPES record last updated: February 25, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 25, 2021, Dec 19, 2016 (2 updates tracked since 2016).

About Erin Kavanagh Koontz Pa-c NPPES

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

ERIN KAVANAGH KOONTZ PA-C (NPI 1518395474) is an individual surgical provider in Grand Rapids, Michigan, licensed in Michigan (5601007868) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1518395474
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameERIN KAVANAGH KOONTZCredential: PA-C
Location Address221 MICHIGAN ST NE STE 400Grand Rapids, MI 49503-2543
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560 · (616) 267-9295 · Fax (616) 267-9296
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 30, 2013
Last NPPES UpdateFebruary 25, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2021
NPI 1518395474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses Licensed in MI · 5601007868 Licensed in NY · 016874
221 MICHIGAN ST NE STE 400, Grand Rapids, MI 49503

Other Names 1

Former Name (1)Erin Kavanagh Wilson Pa-c

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

Erin Kavanagh Koontz Pa-c 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 ID6709104748
PECOS Enrollment IDI20161011000937
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.

Hospital Affiliations CMS Care Compare

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

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Physical Medicine & Rehabilitation
221 MICHIGAN ST NE STE 400
GRAND RAPIDS, MI 49503
Surgery (Surgical Critical Care)
221 MICHIGAN ST NE STE 400
GRAND RAPIDS, MI 49503
Nurse Practitioner (Family)
221 MICHIGAN ST NE STE 400
GRAND RAPIDS, MI 49503
Surgery (Surgical Critical Care)
221 MICHIGAN ST NE STE 400
GRAND RAPIDS, MI 49503
Surgery (Surgical Critical Care)
221 MICHIGAN ST NE STE 400
GRAND RAPIDS, MI 49503
Physician Assistant
221 MICHIGAN ST NE STE 400
GRAND RAPIDS, MI 49503
Surgery (Surgical Critical Care)
221 MICHIGAN ST NE STE 400
GRAND RAPIDS, MI 49503
Nurse Practitioner
221 MICHIGAN ST NE STE 400
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 Erin Koontz's NPI number?

The NPI number for Erin Koontz is 1518395474. It was assigned to this individual provider in the NPPES registry on October 30, 2013. The provider is also known as Erin Kavanagh Wilson Pa-C.

Where is Erin Koontz located?

Erin Koontz practices at 221 Michigan St NE Ste 400, Grand Rapids, MI 49503. The listed phone number is (616) 486-9600.

What is Erin Koontz's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Erin Koontz enrolled in Medicare?

Yes. Erin Koontz 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 Erin Koontz accept?

Health plans from McLaren Health Plan Community and Priority Health list Erin Koontz 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 Erin Koontz affiliated with any hospitals?

According to CMS data, Erin Koontz is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Erin Koontz was last updated on February 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.