Katie Halter, PA-C - Medicare Physician Assistant in Grand Rapids, MI

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Katie Halter, PA-C is a medicare enrolled "Physician Assistant" in Grand Rapids, Michigan. She graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Cherry Street Services Inc, Metropolitan Hospital and her current practice location is 100 Cherry St Se, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 965-8253.

Katie Halter is licensed to practice in Michigan (license number 5601008462) 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 1477064848.

Contact Information

Katie Halter, PA-C
100 Cherry St Se,
Grand Rapids, MI 49503-4526
(616) 965-8253
(616) 940-5357

Map and Direction




Provider's Profile

Full NameKatie Halter
GenderFemale
SpecialityPhysician Assistant
Experience9 Years
Location100 Cherry St Se, 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:
  • Katie Halter graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1477064848
  • Provider Enumeration Date: 10/12/2017
  • Last Update Date: 02/03/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 6800153750
  • Enrollment ID: I20171130001378

Medical Identifiers

Medical identifiers for Katie Halter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477064848NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 5601008462 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Michigan Health - WestWyoming, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cherry Street Services Inc680070764758
Metropolitan Hospital5597651836421

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. Katie Halter allows following entities to bill medicare on her behalf.
Entity NamePine Rest Christian Mental Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851309884
PECOS PAC ID: 4981506508
Enrollment ID: O20040216000878
Entity NameMetropolitan Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811937519
PECOS PAC ID: 5597651836
Enrollment ID: O20040507000012
Entity NameCherry Street Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558459164
PECOS PAC ID: 6800707647
Enrollment ID: O20040804000274

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. Katie Halter 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
Katie Halter, PA-C
100 Cherry St Se,
Grand Rapids, MI 49503-4526

Ph: (616) 965-8253		Katie Halter, PA-C
100 Cherry St Se,
Grand Rapids, MI 49503-4526

Ph: (616) 965-8253

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.