Karli Gormley, PA-C - Medicare Physician Assistant in Grand Rapids, MI

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Karli Gormley, PA-C is a medicare enrolled "Physician Assistant" in Grand Rapids, Michigan. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Visionary Medical Services, Pc and her current practice location is 100 Michigan St Ne, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 391-1774.

Karli Gormley is licensed to practice in Michigan (license number 5601010285) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1124610571.

Contact Information

Karli Gormley, PA-C
100 Michigan St Ne,
Grand Rapids, MI 49503-2560
(616) 391-1774
Not Available

Map and Direction




Provider's Profile

Full NameKarli Gormley
GenderFemale
SpecialityPhysician Assistant
Experience6 Years
Location100 Michigan St Ne, Grand Rapids, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Karli Gormley graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1124610571
  • Provider Enumeration Date: 02/08/2021
  • Last Update Date: 08/18/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 6406256650
  • Enrollment ID: I20210610000600

Medical Identifiers

Medical identifiers for Karli Gormley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124610571NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 5601010285 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Corewell Health Grand Rapids Hospitals ButterworthGrand rapids, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Visionary Medical Services, Pc195140418563

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Karli Gormley allows following entities to bill medicare on her behalf.
Entity NameVisionary Medical Services, PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538216569
PECOS PAC ID: 1951404185
Enrollment ID: O20070308000475
Entity NameEcs Western Michigan PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992281000
PECOS PAC ID: 8628327384
Enrollment ID: O20180814003001
Entity NameTecumseh Urgent Care and Walk in Clinic PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245849298
PECOS PAC ID: 3274959341
Enrollment ID: O20200819003438
Entity NameMain St Urgent Care Clinic and Walk in Clinic PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447825351
PECOS PAC ID: 7618376179
Enrollment ID: O20210603001108
Entity NameChelsea Urgent Care Walk-in Clinic PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811568272
PECOS PAC ID: 1658775309
Enrollment ID: O20210803002704
Entity NamePlainwell Urgent Care Walk-in Clinic PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356014567
PECOS PAC ID: 7315341070
Enrollment ID: O20210803002969
Entity NameBattle Creek Urgent Care Walk in Clinic PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700539251
PECOS PAC ID: 7416340476
Enrollment ID: O20220215002383
Entity NameLambertville Urgent Care Walk in Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043958473
PECOS PAC ID: 5799166625
Enrollment ID: O20220722001878

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Karli Gormley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Karli Gormley, PA-C
4100 Embassy Dr Se Ste 400,
Grand Rapids, MI 49546-2416

Ph: Not Available		Karli Gormley, PA-C
100 Michigan St Ne,
Grand Rapids, MI 49503-2560

Ph: (616) 391-1774

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.