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MIKALA RAE GUALTIERI PA
NPI 1669280384
Physician Assistant in Norton Shores, MI

Active since December 27, 2024PECOS EnrolledAccepts Medicare Assignment
3570 HENRY ST STE 120, NORTON SHORES, MI 49441(231) 672-7000 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mikala Rae Gualtieri Pa NPPES

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

MIKALA RAE GUALTIERI PA (NPI 1669280384) is an individual physician assistant in Norton Shores, Michigan, licensed in Michigan (5601012938) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS, is affiliated with Trinity Health Muskegon Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1669280384
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMIKALA RAE GUALTIERICredential: PA
Location Address3570 HENRY ST STE 120Norton Shores, MI 49441-4576
Mailing Address892 College AveHolland, MI 49423-7050 · (616) 510-6407
Phone(231) 672-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 27, 2024
Last NPPES UpdateJanuary 14, 2025
NPPES CertifiedJanuary 14, 2025
✔ NPI 1669280384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601012938
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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 5601012938APP24 (MI)
3570 HENRY ST STE 120, Norton Shores, MI 49441
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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, 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

Mikala Rae Gualtieri Pa 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 ID6103354667
PECOS Enrollment IDI20250110003184
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.

Hospital Affiliations CMS Care Compare

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

Trinity Health Muskegon Hospital

Acute Care Hospitals · Muskegon, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230066
Location1500 E Sherman BlvdMuskegon, MI 49441 · Muskegon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49441 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 9

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

MICHAEL BANKA MD
Family Medicine
3570 HENRY ST STE 120
NORTON SHORES, MI 49441
Muskegon County (231) 672-7000
COURTNEY HELENE GALY PA-C, RDN
Physician Assistant
3570 HENRY ST STE 120
NORTON SHORES, MI 49441
Muskegon County (231) 672-7000
ALICIA A GAPPA NP
Nurse Practitioner
3570 HENRY ST STE 120
NORTON SHORES, MI 49441
Muskegon County (231) 672-7000
ALYSIA R HOGAN KINNING MD
Family Medicine
3570 HENRY ST STE 120
NORTON SHORES, MI 49441
Muskegon County (231) 672-7000
MR. MATTHEW KEITH ELLER CNP
Nurse Practitioner (Family)
3570 HENRY ST STE 120
NORTON SHORES, MI 49441
Muskegon County (231) 672-7000
DR. ANTOINETTE MARIE HILDWEIN D.O.
Family Medicine
3570 HENRY ST STE 120
NORTON SHORES, MI 49441
Muskegon County (213) 672-7000
MR. TIMOTHY JON BUNING MA, LPC CAADC
Counselor (Professional)
3570 HENRY ST STE 120
NORTON SHORES, MI 49441
Muskegon County (231) 672-7000
SARAH WESTENBROEK DNP, FNP-BC
Nurse Practitioner (Family)
3570 HENRY ST STE 120
NORTON SHORES, MI 49441
Muskegon County (231) 672-7000

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 Mikala Gualtieri's NPI number?

The NPI number for Mikala Gualtieri is 1669280384. It was assigned to this individual provider in the NPPES registry on December 27, 2024.

Where is Mikala Gualtieri located?

Mikala Gualtieri practices at 3570 Henry St Ste 120, Norton Shores, MI 49441. The listed phone number is (231) 672-7000.

What is Mikala Gualtieri's specialty?

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

Is Mikala Gualtieri enrolled in Medicare?

Yes. Mikala Gualtieri 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 Mikala Gualtieri 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 Mikala Gualtieri 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 Mikala Gualtieri affiliated with any hospitals?

According to CMS data, Mikala Gualtieri is affiliated with Trinity Health Muskegon Hospital.

When was this NPI record last updated?

The NPPES record for Mikala Gualtieri was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.