SARAH CATHERINE ROY NP
NPI 1588031256
Nurse Practitioner in Grand Rapids, MI

Active since August 28, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4100 LAKE DR SE STE 205, GRAND RAPIDS, MI 49546(616) 267-7414 Get Directions Write a Review

NPPES record last updated: February 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 23, 2021, Jan 21, 2020, Mar 1, 2018 (3 updates tracked since 2018).

About Sarah Catherine Roy Np NPPES

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

SARAH CATHERINE ROY NP (NPI 1588031256) is an individual nurse practitioner in Grand Rapids, Michigan, licensed in Michigan (4704242172) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health United Hospital, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1588031256
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSARAH CATHERINE ROYCredential: NP
Location Address4100 LAKE DR SE STE 205Grand Rapids, MI 49546-8292
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateAugust 28, 2015
Last NPPES UpdateFebruary 23, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2021
NPI 1588031256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MI · 4704242172
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4100 LAKE DR SE STE 205, Grand Rapids, MI 49546

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

Sarah Catherine Roy Np 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 ID6204146384
PECOS Enrollment IDI20151102000490
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
67 services49 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
48 services47 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.
23 services22 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.
23 services21 patients
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.
13 services12 patients

Hospital Affiliations CMS Care Compare 3

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

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 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
$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.

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.

Physician Assistant
4100 LAKE DR SE STE 205
GRAND RAPIDS, MI 49546
Nurse Practitioner (Family)
4100 LAKE DR SE STE 205
GRAND RAPIDS, MI 49546
Surgery
4100 LAKE DR SE STE 205
GRAND RAPIDS, MI 49546
Colon & Rectal Surgery
4100 LAKE DR SE STE 205
GRAND RAPIDS, MI 49546
Physician Assistant
4100 LAKE DR SE STE 205
GRAND RAPIDS, MI 49546
Internal Medicine (Gastroenterology)
4100 LAKE DR SE STE 205
GRAND RAPIDS, MI 49546
Colon & Rectal Surgery
4100 LAKE DR SE STE 205
GRAND RAPIDS, MI 49546
Physician Assistant
4100 LAKE DR SE STE 205
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 Sarah Roy's NPI number?

The NPI number for Sarah Roy is 1588031256. It was assigned to this individual provider in the NPPES registry on August 28, 2015.

Where is Sarah Roy located?

Sarah Roy practices at 4100 Lake Dr SE Ste 205, Grand Rapids, MI 49546. The listed phone number is (616) 267-7414.

What is Sarah Roy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sarah Roy enrolled in Medicare?

Yes. Sarah Roy 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 Sarah Roy accept?

Health plans from McLaren Health Plan Community and Priority Health list Sarah Roy 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 Sarah Roy affiliated with any hospitals?

According to CMS data, Sarah Roy is affiliated with Spectrum Health United Hospital, Spectrum Health and Corewell Health Pennock Hospital.

When was this NPI record last updated?

The NPPES record for Sarah Roy was last updated on February 23, 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.