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AUDREY MACCIOMEI
NPI 1639927593
Physician Assistant in Grand Rapids, MI

Active since May 07, 2024
630 KENMOOR AVE SE STE 103, GRAND RAPIDS, MI 49546(616) 600-4950 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Audrey Macciomei NPPES

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

AUDREY MACCIOMEI (NPI 1639927593) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601012216) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1639927593
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAUDREY MACCIOMEI
Location Address630 KENMOOR AVE SE STE 103Grand Rapids, MI 49546-8626
Mailing Address1023 Helen St Ne Unit 1Grand Rapids, MI 49503-3670 · (331) 999-5493
Phone(616) 600-4950
Sole ProprietorYes
Enumeration DateMay 7, 2024
NPPES CertifiedMay 7, 2024
✔ NPI 1639927593 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 · 5601012216
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.
630 KENMOOR AVE SE STE 103, Grand Rapids, MI 49546
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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, Priority Health.Insurance ›

Other Providers at the Same Location NPPES 5

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

KAILE VIDETICH LLMFT
Marriage & Family Therapist
630 KENMOOR AVE SE STE 103
GRAND RAPIDS, MI 49546
Kent County (616) 330-2330
ABBEY FOWLER LLPC
Counselor (Mental Health)
630 KENMOOR AVE SE STE 103
GRAND RAPIDS, MI 49546
Kent County (616) 320-1711
WOMENS HEALTH COLLECTIVE
Obstetrics & Gynecology (Gynecology)
630 KENMOOR AVE SE STE 103
GRAND RAPIDS, MI 49546
Kent County (616) 581-0772
MRS. NISHA KIMBERLY MCKENZIE PA-C
Physician Assistant (Medical)
630 KENMOOR AVE SE STE 103
GRAND RAPIDS, MI 49546
Kent County (616) 600-4950
KARA PETTINGER, L.L.C.
Social Worker (Clinical)
630 KENMOOR AVE SE STE 103
GRAND RAPIDS, MI 49546
Kent County (517) 983-3384

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 Audrey Macciomei's NPI number?

The NPI number for Audrey Macciomei is 1639927593. It was assigned to this individual provider in the NPPES registry on May 7, 2024.

Where is Audrey Macciomei located?

Audrey Macciomei practices at 630 Kenmoor Ave SE Ste 103, Grand Rapids, MI 49546. The listed phone number is (616) 600-4950.

What is Audrey Macciomei's specialty?

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

What insurance does Audrey Macciomei accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Audrey Macciomei 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.

When was this NPI record last updated?

The NPPES record for Audrey Macciomei was last updated on May 7, 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.