COLLIER S WIESE (PA-C) – Physician Assistant, NPI 1003896382

COLLIER S WIESE (PA-C) is a healthcare provider. based in Kalamazoo, Michigan. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 5601002503 (MI). The NPI Number for COLLIER S WIESE (PA-C) is 1003896382

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
COLLIER S WIESE (PA-C)
NPI
1003896382
Phone
(269) 343-1264
Address
1541 GULL RD
Enumeration Date
20 January 2006
Last Update Date
1 June 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1995 (31 years ago)
PAC ID
9537184197
Group Practice PAC ID
5294645750
Professional Enrollment ID
I20051012000786
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for COLLIER S WIESE (PA-C)

  • 1541, Gull Road, Charter Township of Comstock, Kalamazoo County, Michigan, 49001, United States

    SUITE 200

    KALAMAZOO, MI 490481639

    Phone: (269) 343-1264

    Fax: (269) 343-9555

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49048)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5294645750View full group profile
NameSpecialtyState
-MI
-MI
General Surgery, Vascular SurgeryMI
Interventional Radiology, Diagnostic RadiologyMI
Physician AssistantMI
Interventional Cardiology, Cardiovascular Disease (Cardiology)MI
Nurse PractitionerMI
-MI
-MI
Diagnostic RadiologyFL

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Frequently asked questions

How do I look up COLLIER S WIESE (PA-C) by NPI?
Use NPI 1003896382 when you need to reference COLLIER S WIESE (PA-C) in forms, claims, or directories.
Is COLLIER S WIESE (PA-C) currently active in the NPI registry?
CMS-published data lists COLLIER S WIESE (PA-C) as an active registrant.
What field does COLLIER S WIESE (PA-C) work in?
You can think of COLLIER S WIESE (PA-C) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is COLLIER S WIESE (PA-C)'s primary listing?
We display Kalamazoo, Michigan because that is what the record indicates for COLLIER S WIESE (PA-C).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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