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EMILY ANN GRANTHAM DNP
NPI 1548945546
Nurse Practitioner - Pediatrics in Grandville, MI

Active since June 16, 2023PECOS Enrolled
2845 44TH ST SW STE 200, GRANDVILLE, MI 49418(616) 538-2410 Get Directions Write a Review

NPPES record last updated: June 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Emily Ann Grantham Dnp NPPES

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

EMILY ANN GRANTHAM DNP (NPI 1548945546) is an individual pediatrics provider in Grandville, Michigan, licensed in Michigan (4704329817) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1548945546
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameEMILY ANN GRANTHAMCredential: DNP
Location Address2845 44TH ST SW STE 200Grandville, MI 49418-2678
Mailing Address138 Lowell Ave NeGrand Rapids, MI 49503-3786 · (734) 807-1461
Phone(616) 538-2410
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 16, 2023
NPPES CertifiedJune 16, 2023
✔ NPI 1548945546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MI · 4704329817
2845 44TH ST SW STE 200, Grandville, MI 49418
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Ann Grantham Dnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779986328
PECOS Enrollment IDI20260513000443
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49418 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
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
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

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

KELLY JO LUBBERS DNP, CPNP
Nurse Practitioner (Pediatrics)
2845 44TH ST SW STE 200
GRANDVILLE, MI 49418
Kent County (616) 538-2410

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 Emily Grantham's NPI number?

The NPI number for Emily Grantham is 1548945546. It was assigned to this individual provider in the NPPES registry on June 16, 2023.

Where is Emily Grantham located?

Emily Grantham practices at 2845 44th St SW Ste 200, Grandville, MI 49418. The listed phone number is (616) 538-2410.

What is Emily Grantham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Emily Grantham enrolled in Medicare?

Yes. Emily Grantham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Emily Grantham was last updated on June 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.