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KATHERINE MARIE BUSSONE PA-C
NPI 1780995902
Physician Assistant in Grandville, MI

Active since June 23, 2010PECOS EnrolledAccepts Medicare Assignment
3185 MACATAWA DR SW, SUITE A, GRANDVILLE, MI 49418(616) 391-4500(616) 486-0130 Get Directions Write a Review

NPPES record last updated: February 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 19, 2021, Nov 19, 2015 (2 updates tracked since 2015).

About Katherine Marie Bussone Pa-c NPPES

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

KATHERINE MARIE BUSSONE PA-C (NPI 1780995902) is an individual physician assistant in Grandville, Michigan, licensed in Michigan (5601005777) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1780995902
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATHERINE MARIE BUSSONECredential: PA-C
Location Address3185 MACATAWA DR SW, SUITE AGrandville, MI 49418-3184
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560 · (616) 486-6790 · Fax (616) 486-6702
Phone(616) 391-4500
Fax(616) 486-0130
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJune 23, 2010
Last NPPES UpdateFebruary 19, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2021
✔ NPI 1780995902 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 · 5601005777
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.
3185 MACATAWA DR SW, Grandville, MI 49418
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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, McLaren Health Plan Community 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

Katherine Marie Bussone 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 ID7315132990
PECOS Enrollment IDI20101109000438
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.
72 services51 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
20 services20 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.
17 services13 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49418 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 4

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

MRS. ERIN NICOLE JERABEK-GIBSON PA-C
Physician Assistant
3185 MACATAWA DR SW, SUITE B
GRANDVILLE, MI 49418
Kent County (616) 531-6900
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Internal Medicine
3185 MACATAWA DR SW, SUITE A
GRANDVILLE, MI 49418
Kent County (616) 391-4500
BENJAMIN RUSSELL SCHIPPER MD
Internal Medicine
3185 MACATAWA DR SW, SUITE A
GRANDVILLE, MI 49418
Kent County (616) 391-4500
ERIC JAMES WIELHOUWER D.O.
Internal Medicine
3185 MACATAWA DR SW, SUITE A
GRANDVILLE, MI 49418
Kent County (616) 391-4500

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 Katherine Bussone's NPI number?

The NPI number for Katherine Bussone is 1780995902. It was assigned to this individual provider in the NPPES registry on June 23, 2010.

Where is Katherine Bussone located?

Katherine Bussone practices at 3185 Macatawa Dr SW Suite A, Grandville, MI 49418. The listed phone number is (616) 391-4500.

What is Katherine Bussone's specialty?

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

Is Katherine Bussone enrolled in Medicare?

Yes. Katherine Bussone 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 Katherine Bussone accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Katherine Bussone 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 Katherine Bussone affiliated with any hospitals?

According to CMS data, Katherine Bussone is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Katherine Bussone was last updated on February 19, 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.