MADISON RAE BRINK PA-C
NPI 1912683541
Physician Assistant in Grand Rapids, MI

Active since June 27, 2023PECOS EnrolledAccepts Medicare Assignment
4069 LAKE DR SE STE 315, GRAND RAPIDS, MI 49546(616) 267-7758 Get Directions Write a Review

NPPES record last updated: October 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 21, 2024, Jan 5, 2024 (2 updates tracked since 2024).

About Madison Rae Brink Pa-c NPPES

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

MADISON RAE BRINK PA-C (NPI 1912683541) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601011952) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1912683541
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMADISON RAE BRINKCredential: PA-C
Location Address4069 LAKE DR SE STE 315Grand Rapids, MI 49546-8816
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 27, 2023
Last NPPES UpdateOctober 21, 20242 updates tracked since enumeration
NPPES CertifiedOctober 21, 2024
NPI 1912683541 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 · 5601011952
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.
4069 LAKE DR SE STE 315, Grand Rapids, MI 49546

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

Madison Rae Brink 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 ID547612970
PECOS Enrollment IDI20240122000572
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.

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 49546 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 20

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

Audiologist
4069 LAKE DR SE STE 315
GRAND RAPIDS, MI 49546
Audiologist
4069 LAKE DR SE STE 315
GRAND RAPIDS, MI 49546
Audiologist
4069 LAKE DR SE STE 315
GRAND RAPIDS, MI 49546
Internal Medicine (Geriatric Medicine)
4069 LAKE DR SE STE 315
GRAND RAPIDS, MI 49546
Audiologist
4069 LAKE DR SE STE 315
GRAND RAPIDS, MI 49546
Audiologist
4069 LAKE DR SE STE 315
GRAND RAPIDS, MI 49546
Nurse Practitioner
4069 LAKE DR SE STE 315
GRAND RAPIDS, MI 49546
Internal Medicine
4069 LAKE DR SE STE 315
GRAND RAPIDS, MI 49546

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 Madison Brink's NPI number?

The NPI number for Madison Brink is 1912683541. It was assigned to this individual provider in the NPPES registry on June 27, 2023.

Where is Madison Brink located?

Madison Brink practices at 4069 Lake Dr SE Ste 315, Grand Rapids, MI 49546. The listed phone number is (616) 267-7758.

What is Madison Brink's specialty?

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

Is Madison Brink enrolled in Medicare?

Yes. Madison Brink 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 Madison Brink accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Madison Brink 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 Madison Brink affiliated with any hospitals?

According to CMS data, Madison Brink is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Madison Brink was last updated on October 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.