Look up the most recent NPI and PECOS records

Kylie Meyer

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

275 Michigan St NE, Grand Rapids, MI 49503-2531

PECOS Enrollment

Based on the most recent information from CMS, provider Kylie Meyer is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 10:37 AM.

Profile Details

Provider ID
1154941011
Provider Type
Individual
Full Name
Meyer, Kylie
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
4/21/2020
Last Updated
12/10/2024

Contact Information

Practice Location

275 Michigan St NE, Grand Rapids, MI 49503-2531

(616) 267-7900

(616) 267-7901

Mailing Location

100 Michigan St NE # Mc845, Grand Rapids, MI 49503-2560

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 5601011904 Michigan

Kylie Meyer

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Piskin, Hillary Ann

Romine, Dina Barbara Kaissi

Mankivsky, Lauren

Reiff, Rebekah A

Baker, Sarah Catherine

Charles, Kara E

Salk, Hannah Gabrielle

Cicerone-Carder, Anina L

Cook, Brittany Ann

Vandeusen, Julie