Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ABBY KATE VANOTTEREN-SMITH PA-C
NPI 1780453977
Physician Assistant in Grand Rapids, MI

Q: What is Abby Vanotteren-smith's NPI number?

The NPI number for Abby Vanotteren-smith is 1780453977. It was assigned to this individual provider in the NPPES registry on December 28, 2023. The provider is also known as Abby Kate Vanotteren Pa-C.

Q: What is Abby Vanotteren-smith's specialty?

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

Active since December 28, 2023PECOS Enrolled

145 MICHIGAN ST NE STE 4400, GRAND RAPIDS, MI 49503(616) 486-6333 Get Directions Write a Review

NPPES record last updated: September 21, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 21, 2026, Apr 1, 2024 (2 updates tracked since 2024).

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About Abby Kate Vanotteren-smith Pa-c NPPES

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

ABBY KATE VANOTTEREN-SMITH PA-C (NPI 1780453977) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601012214) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS, is affiliated with Corewell Health Big Rapids Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1780453977

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameABBY KATE VANOTTEREN-SMITHCredential: PA-C

Location Address145 MICHIGAN ST NE STE 4400Grand Rapids, MI 49503-2564

Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560 · (616) 486-6790

Phone(616) 486-6333

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateDecember 28, 2023

Last NPPES UpdateSeptember 21, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 21, 2026

✔ NPI 1780453977 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 · 5601012214

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.

145 MICHIGAN ST NE STE 4400, Grand Rapids, MI 49503

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Other Names 1

Former Name (1)Abby Kate Vanotteren 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, Priority Health.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

Abby Kate Vanotteren-smith 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 ID244676864

PECOS Enrollment IDI20240306000695

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.

Corewell Health Big Rapids Hospital

Acute Care Hospitals · Big Rapids, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230093

Location605 Oak StreetBig Rapids, MI 49307 · Mecosta County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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 12

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

DR. JAYNE ELIZABETH PAULSON M.D.

Surgery