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KATHRYN MARIE THELEN PA-C
NPI 1558719807
Physician Assistant in Grand Rapids, MI

Active since May 27, 2016PECOS EnrolledAccepts Medicare Assignment
1000 E PARIS AVE SE, SUITE 200, GRAND RAPIDS, MI 49546(616) 685-3450(616) 685-3454 Get Directions Write a Review

NPPES record last updated: November 20, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathryn Marie Thelen Pa-c NPPES

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

KATHRYN MARIE THELEN PA-C (NPI 1558719807) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601007795) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Mercy Health Saint Mary's, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1558719807
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATHRYN MARIE THELENCredential: PA-C
Location Address1000 E PARIS AVE SE, SUITE 200Grand Rapids, MI 49546-3691
Mailing Address1000 E Paris Ave Se Ste 200Grand Rapids, MI 49546-8383 · (616) 685-3450 · Fax (616) 685-3454
Phone(616) 685-3450
Fax(616) 685-3454
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMay 27, 2016
Last NPPES UpdateNovember 20, 2019
✔ NPI 1558719807 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 · 5601007795
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.
1000 E PARIS AVE SE, Grand Rapids, MI 49546
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Other Names 1

Former Name (1)Kathryn Costantini Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.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

Kathryn Marie Thelen 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 ID7517258775
PECOS Enrollment IDI20160617000572
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 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.
126 services102 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
60 services51 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.
24 services24 patients

Hospital Affiliations CMS Care Compare

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

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

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.

DR. NAVNEET SINGH MANDER M.D.
Urology
1000 E PARIS AVE SE, SUITE 230
GRAND RAPIDS, MI 49546
Kent County (616) 949-4340
GENENE EVELYN SOBOLESKI RBT
Behavior Technician
1000 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Kent County (844) 854-1116
JANNAT SAKI
Behavior Technician
1000 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Kent County (844) 244-1818
COBY K ODATE
Behavior Technician
1000 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Kent County (844) 244-1818
JAVONTE BRIEON JACKSON RBT
Behavior Technician
1000 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Kent County (844) 854-1116
SAMANTHA PRINCE
Behavior Technician
1000 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Kent County (844) 244-1818
ROY W WADDELL M.D.
Orthopaedic Surgery
1000 E PARIS AVE SE, SUITE 215
GRAND RAPIDS, MI 49546
Kent County (616) 949-8945
SERENA BLASKO BEHAVIOR TECHNICIAN
Behavior Technician
1000 E PARIS AVE SE
GRAND RAPIDS, MI 49546
Kent County (844) 244-1818

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 Kathryn Thelen's NPI number?

The NPI number for Kathryn Thelen is 1558719807. It was assigned to this individual provider in the NPPES registry on May 27, 2016. The provider is also known as Kathryn Costantini Pa-C.

Where is Kathryn Thelen located?

Kathryn Thelen practices at 1000 E Paris Ave SE Suite 200, Grand Rapids, MI 49546. The listed phone number is (616) 685-3450.

What is Kathryn Thelen's specialty?

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

Is Kathryn Thelen enrolled in Medicare?

Yes. Kathryn Thelen 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 Kathryn Thelen accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Kathryn Thelen 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 Kathryn Thelen affiliated with any hospitals?

According to CMS data, Kathryn Thelen is affiliated with Mercy Health Saint Mary's.

When was this NPI record last updated?

The NPPES record for Kathryn Thelen was last updated on November 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.