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LISA EYRES
NPI 1821945064
Nutritionist in Grand Rapids, MI

Active since March 16, 2026Accepts Medicare Assignment
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503(616) 486-6790 Get Directions Write a Review

NPPES record last updated: June 18, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lisa Eyres NPPES

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

LISA EYRES (NPI 1821945064) is an individual nutritionist in Grand Rapids, Michigan, licensed in Michigan (809211) and active in the NPI registry since March 2026. She maintains a secondary practice location in Royal Oak and is a graduate of Other (1990).

NPPES Registry Identity

NPI1821945064
Entity TypeIndividualFemale
Primary Taxonomy133N00000X
Provider Legal NameLISA EYRES
Location Address100 MICHIGAN ST NE # MC845Grand Rapids, MI 49503-2560
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560 · (616) 486-6790
Phone(616) 486-6790
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateMarch 16, 2026
Last NPPES UpdateJune 18, 2026
NPPES CertifiedJune 18, 2026
✔ NPI 1821945064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNutritionistDietary & Nutritional Service Providers
Taxonomy Code133N00000X
License✔ Licensed in MI · 809211
Definition
A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.
100 MICHIGAN ST NE # MC845, Grand Rapids, MI 49503
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Secondary Practice Location 1

Location 13577 W 13 Mile Rd Ste 206Royal Oak, MI 48073-6710 · Phone (248) 964-9200

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa Eyres 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 ID4880161199
PECOS Enrollment IDI20260423002429

Medicare Billing Reassignment

Medicare enrollment records show Lisa Eyres reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Beaumont Medical Group- Specialty Services
130 mi
Surgery
3601 W 13 MILE RD
Royal Oak, MI 48073
  • Reassigned Medicare billing, Michigan enrollment
  • 1,030 clinicians in this Medicare group
NPI 1578072906 (248) 898-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

CASSANDRA CUMMINGS DNP
Nurse Practitioner (Pediatrics)
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503
Kent County (616) 486-6790
ALI KAY SHORT LMSW
Social Worker (Clinical)
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503
Kent County (616) 486-6790
NICOLE HOLBROOK
Speech-Language Pathologist
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503
Kent County (616) 486-6790
EVAN BERKAS
Student in an Organized Health Care Education/Training Program
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503
Kent County (616) 486-6790
MRS. ASHLEY DAWN BRUURSEMA NNP-BC
Nurse Practitioner (Neonatal, Critical Care)
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503
Kent County (616) 486-6790
MIKAYLA ALTHOFF
Social Worker
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503
Kent County (616) 486-6790
MRS. BOBBI JO KIEFF RN, BSN, CDCES
Student in an Organized Health Care Education/Training Program
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503
Kent County (616) 486-6790
BREANNA MAE NOFFKE PA
Physician Assistant
100 MICHIGAN ST NE # MC845
GRAND RAPIDS, MI 49503
Kent County (616) 486-6790

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 Lisa Eyres's NPI number?

The NPI number for Lisa Eyres is 1821945064. It was assigned to this individual provider in the NPPES registry on March 16, 2026.

Where is Lisa Eyres located?

Lisa Eyres practices at 100 Michigan St NE # Mc845, Grand Rapids, MI 49503. The listed phone number is (616) 486-6790.

What is Lisa Eyres's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

Is Lisa Eyres enrolled in Medicare?

Yes. Lisa Eyres 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.

Which organization bills Medicare for Lisa Eyres's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Eyres reassigns Medicare benefits to Beaumont Medical Group- Specialty Services (Royal Oak, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Eyres's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Eyres was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.