LORA COMMISSARIS PA
NPI 1790387835
Physician Assistant in Wayland, MI

Active since November 13, 2020PECOS EnrolledAccepts Medicare Assignment
12851 W M 179 HWY, WAYLAND, MI 49348(877) 377-7322 Get Directions Write a Review

NPPES record last updated: July 5, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 5, 2022, Nov 13, 2020 (2 updates tracked since 2020).

About Lora Commissaris Pa NPPES

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

LORA COMMISSARIS PA (NPI 1790387835) is an individual physician assistant in Wayland, Michigan, licensed in Michigan (5601010293) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Western Un Of Hlth Sciences, Col Of Podiatric Med (2020).

NPPES Registry Identity

NPI1790387835
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLORA COMMISSARISCredential: PA
Location Address12851 W M 179 HWYWayland, MI 49348-9318
Mailing Address100 Michigan St NeGrand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSWestern Un Of Hlth Sciences, Col Of Podiatric MedGraduated 2020
Enumeration DateNovember 13, 2020
Last NPPES UpdateJuly 5, 20222 updates tracked since enumeration
NPPES CertifiedJuly 5, 2022
NPI 1790387835 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 · 5601010293
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.

12851 W M 179 HWY, Wayland, MI 49348

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

Lora Commissaris 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 ID7315356607
PECOS Enrollment IDI20210518001221
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 2

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

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 49348 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 14

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

Physician Assistant
12851 W M 179 HWY
WAYLAND, MI 49348
Family Medicine
12851 W M 179 HWY
WAYLAND, MI 49348
Nurse Practitioner (Family)
12851 W M 179 HWY
WAYLAND, MI 49348
Family Medicine
12851 W M 179 HWY
WAYLAND, MI 49348
Nurse Practitioner (Family)
12851 W M 179 HWY
WAYLAND, MI 49348
Family Medicine
12851 W M 179 HWY
WAYLAND, MI 49348
Pharmacy (Community/Retail Pharmacy)
12851 W M 179 HWY
WAYLAND, MI 49348
Family Medicine
12851 W M 179 HWY
WAYLAND, MI 49348

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 Lora Commissaris's NPI number?

The NPI number for Lora Commissaris is 1790387835. It was assigned to this individual provider in the NPPES registry on November 13, 2020.

Where is Lora Commissaris located?

Lora Commissaris practices at 12851 W M 179 Hwy, Wayland, MI 49348. The listed phone number is (877) 377-7322.

What is Lora Commissaris's specialty?

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

Is Lora Commissaris enrolled in Medicare?

Yes. Lora Commissaris 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 Lora Commissaris 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 Lora Commissaris 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 Lora Commissaris affiliated with any hospitals?

According to CMS data, Lora Commissaris is affiliated with Spectrum Health and Corewell Health Pennock Hospital.

When was this NPI record last updated?

The NPPES record for Lora Commissaris was last updated on July 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.