Mikala Rae Gualtieri, PA
NPI 1669280384ActiveIndividual· Physician Assistant· Norton Shores, MI
Physician Assistant (PA) with Mercy Physician Network, practicing in Norton Shores, Michigan. Enrolled in Medicare as practitioner - physician assistant. Lists Trinity Health Muskegon Hospital as a hospital affiliation.
Overview
| NPI | 1669280384 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Dec 27, 2024 |
| Last updated in NPPES | Jan 14, 2025 |
| Certified by provider | Jan 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 5601012938 | MI |
| Family Medicine | 207Q00000X | 5601012938APP24 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MI) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Mercy Physician NetworkSpring Lake, MI · 112 clinicians
Hospital affiliation
- Trinity Health Muskegon HospitalMuskegon, MI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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