1. Home
  2. Directory
  3. Michigan
  4. Grand Rapids
  5. Physician Assistant
  6. NPI Profile

MY TU LY PA-C
NPI 1962717850
Physician Assistant in Grand Rapids, MI

Active since August 16, 2010
2332 ALPINE AVE NW, GRAND RAPIDS, MI 49544(616) 391-6220 Get Directions Write a Review

NPPES record last updated: November 26, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 26, 2019, Aug 18, 2016 (2 updates tracked since 2016).

About My Tu Ly Pa-c NPPES

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

MY TU LY PA-C (NPI 1962717850) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601005770) and active in the NPI registry since August 2010.

NPPES Registry Identity

NPI1962717850
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMY TU LYCredential: PA-C
Location Address2332 ALPINE AVE NWGrand Rapids, MI 49544-1955
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Phone(616) 391-6220
Sole ProprietorNo
Enumeration DateAugust 16, 2010
Last NPPES UpdateNovember 26, 20192 updates tracked since enumeration
✔ NPI 1962717850 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 · 5601005770
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.
2332 ALPINE AVE NW, Grand Rapids, MI 49544
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida and more.Insurance ›

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.

JAMES POCHERT MD
Internal Medicine
2332 ALPINE AVE NW
GRAND RAPIDS, MI 49544
Kent County (616) 391-6220
DIANA LIGHTFOOT PA
Physician Assistant
2332 ALPINE AVE NW
GRAND RAPIDS, MI 49544
Kent County (616) 391-6220
DANIEL W TOME DO
Emergency Medicine
2332 ALPINE AVE NW
GRAND RAPIDS, MI 49544
Kent County (616) 391-6220
GREGOR F BENNETT PA
Physician Assistant
2332 ALPINE AVE NW
GRAND RAPIDS, MI 49544
Kent County (616) 391-6220
LAWRENCE HALL MD
Family Medicine
2332 ALPINE AVE NW
GRAND RAPIDS, MI 49544
Kent County (616) 391-8274
ERICA KUIPER PA-C
Physician Assistant
2332 ALPINE AVE NW
GRAND RAPIDS, MI 49544
Kent County (616) 391-6220
ADRIENNE R COOK NP
Nurse Practitioner
2332 ALPINE AVE NW
GRAND RAPIDS, MI 49544
Kent County (616) 391-6220
MARINA ROCIO IBARRA LAVIGNE PA
Physician Assistant
2332 ALPINE AVE NW
GRAND RAPIDS, MI 49544
Kent County (616) 391-6220

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 My Ly's NPI number?

The NPI number for My Ly is 1962717850. It was assigned to this individual provider in the NPPES registry on August 16, 2010.

Where is My Ly located?

My Ly practices at 2332 Alpine Ave NW, Grand Rapids, MI 49544. The listed phone number is (616) 391-6220.

What is My Ly's specialty?

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

What insurance does My Ly accept?

Health plans from McLaren Health Plan Community, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and Oscar Health Plan, Inc. and 2 other insurers list My Ly 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.

When was this NPI record last updated?

The NPPES record for My Ly was last updated on November 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.