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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CARLY COUGHLIN
NPI 1972329951
Physician Assistant in Wyoming, MI

Active since November 25, 2024PECOS EnrolledAccepts Medicare Assignment
5900 BYRON CENTER AVE SW, WYOMING, MI 49519(616) 252-7200 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carly Coughlin NPPES

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

CARLY COUGHLIN (NPI 1972329951) is an individual physician assistant in Wyoming, Michigan and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1972329951
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCARLY COUGHLIN
Location Address5900 BYRON CENTER AVE SWWyoming, MI 49519-9606
Mailing Address5900 Byron Center Ave SwWyoming, MI 49519-9606 · (616) 252-7200
Phone(616) 252-7200
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 25, 2024
Last NPPES UpdateAugust 11, 2026
NPPES CertifiedAugust 11, 2026
✔ NPI 1972329951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
5900 BYRON CENTER AVE SW, Wyoming, MI 49519
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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

Carly Coughlin 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 ID1557834777
PECOS Enrollment IDI20260629000450
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49519 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.

MATTHEW AARON ERCK DO
Internal Medicine
5900 BYRON CENTER AVE SW
WYOMING, MI 49519
Kent County (616) 252-7200
AMANDA BRONSON DO
Student in an Organized Health Care Education/Training Program
5900 BYRON CENTER AVE SW
WYOMING, MI 49519
Kent County (616) 252-7078
GANESH KUMAR DO
Student in an Organized Health Care Education/Training Program
5900 BYRON CENTER AVE SW
WYOMING, MI 49519
Kent County (616) 252-7200
DR. SARAH PRATT DO
Student in an Organized Health Care Education/Training Program
5900 BYRON CENTER AVE SW
WYOMING, MI 49519
Kent County (616) 252-7200
SAMANTHA BLAIR PA-C
Physician Assistant
5900 BYRON CENTER AVE SW
WYOMING, MI 49519
Kent County (812) 909-7200
CASSANDRA PAIGE FRITCH NP
Nurse Practitioner (Family)
5900 BYRON CENTER AVE SW
WYOMING, MI 49519
Kent County (616) 252-7200
DR. TRISTAN J WORTHINGTON DO
Family Medicine
5900 BYRON CENTER AVE SW
WYOMING, MI 49519
Kent County (616) 252-7200
MRS. KELLY ANN MURPHY DNP, FNP-C
Nurse Practitioner (Family)
5900 BYRON CENTER AVE SW
WYOMING, MI 49519
Kent County (616) 252-3900

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 Carly Coughlin's NPI number?

The NPI number for Carly Coughlin is 1972329951. It was assigned to this individual provider in the NPPES registry on November 25, 2024.

Where is Carly Coughlin located?

Carly Coughlin practices at 5900 Byron Center Ave SW, Wyoming, MI 49519. The listed phone number is (616) 252-7200.

What is Carly Coughlin's specialty?

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

Is Carly Coughlin enrolled in Medicare?

Yes. Carly Coughlin 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.

When was this NPI record last updated?

The NPPES record for Carly Coughlin was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.