MARIBETH ANNE OTIS PA-C
NPI 1538582283
Physician Assistant in Grand Rapids, MI

Active since January 31, 2014PECOS EnrolledAccepts Medicare Assignment
4069 LAKE DR SE STE 118, GRAND RAPIDS, MI 49546(616) 267-8520 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 6, 2024, Feb 8, 2021 (2 updates tracked since 2021).

About Maribeth Anne Otis Pa-c NPPES

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

MARIBETH ANNE OTIS PA-C (NPI 1538582283) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601006930) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS, is affiliated with Corewell Health Zeeland Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1538582283
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARIBETH ANNE OTISCredential: PA-C
Location Address4069 LAKE DR SE STE 118Grand Rapids, MI 49546-8816
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJanuary 31, 2014
Last NPPES UpdateMay 6, 20242 updates tracked since enumeration
NPPES CertifiedMay 6, 2024
NPI 1538582283 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 · 5601006930
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.
4069 LAKE DR SE STE 118, Grand Rapids, MI 49546

Other Names 1

Former Name (1)Maribeth Anne Fisher 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

Maribeth Anne Otis 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 ID9133350903
PECOS Enrollment IDI20140319001082
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 3

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 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.
29 services27 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services14 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Corewell Health Zeeland Hospital

Acute Care Hospitals · Zeeland, MI
OwnershipVoluntary non-profit - Private
CMS Certification Number230003
Location8333 Felch StZeeland, MI 49464 · Ottawa County
Emergency services Birthing friendly

Spectrum Health United Hospital

Acute Care Hospitals · Greenville, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230035
Location615 S Bower StreetGreenville, MI 48838 · Montcalm County
Birthing friendly

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

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

Corewell Health Pennock Hospital

Critical Access Hospitals · Hastings, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number231339
Location1009 W Green StHastings, MI 49058 · Barry County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 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 20

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

Physical Therapist
4069 LAKE DR SE STE 118
GRAND RAPIDS, MI 49546
Social Worker (Clinical)
4069 LAKE DR SE STE 118
GRAND RAPIDS, MI 49546
Physical Therapist
4069 LAKE DR SE STE 118
GRAND RAPIDS, MI 49546
Nurse Practitioner
4069 LAKE DR SE STE 118
GRAND RAPIDS, MI 49546
Nurse Practitioner (Gerontology)
4069 LAKE DR SE STE 118
GRAND RAPIDS, MI 49546
Physician Assistant
4069 LAKE DR SE STE 118
GRAND RAPIDS, MI 49546
Nurse Practitioner (Women's Health)
4069 LAKE DR SE STE 118
GRAND RAPIDS, MI 49546
Social Worker (Clinical)
4069 LAKE DR SE STE 118
GRAND RAPIDS, MI 49546

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 Maribeth Otis's NPI number?

The NPI number for Maribeth Otis is 1538582283. It was assigned to this individual provider in the NPPES registry on January 31, 2014. The provider is also known as Maribeth Anne Fisher Pa-C.

Where is Maribeth Otis located?

Maribeth Otis practices at 4069 Lake Dr SE Ste 118, Grand Rapids, MI 49546. The listed phone number is (616) 267-8520.

What is Maribeth Otis's specialty?

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

Is Maribeth Otis enrolled in Medicare?

Yes. Maribeth Otis 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 Maribeth Otis accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Maribeth Otis 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 Maribeth Otis affiliated with any hospitals?

According to CMS data, Maribeth Otis is affiliated with Corewell Health Zeeland Hospital, Spectrum Health United Hospital, Spectrum Health, Corewell Health Big Rapids Hospital and Corewell Health Pennock Hospital.

When was this NPI record last updated?

The NPPES record for Maribeth Otis was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.