DIANA LIGHTFOOT (PA) – Physician Assistant, NPI 1053414128

DIANA LIGHTFOOT (PA) is a healthcare provider. based in Grand rapids, Michigan. specializing in Physician Assistant. They hold the professional credentials PA. They hold a License No. 5601004545 (MI). The NPI Number for DIANA LIGHTFOOT (PA) is 1053414128

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
DIANA LIGHTFOOT (PA)
NPI
1053414128
Phone
Not provided
Address
100 MICHIGAN ST NE
Enumeration Date
6 September 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2699488057
Graduation Year
2005 (21 years ago)
PAC ID
5496770687
Group Practice PAC ID
5698823250
Professional Enrollment ID
I20051006000692
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DIANA LIGHTFOOT (PA)

  • Spectrum Health Butterworth Hospital, 100, Michigan Street Northeast, Grand Rapids, Kent County, Michigan, 49503, United States

    MC 109 ATTN JULIE L

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

  • 2332, Alpine Avenue Northwest, Walker, Kent County, Michigan, 49544, United States

    GRAND RAPIDS, MI 495441955

    Phone: (616) 391-6220

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 78 Open Payments records for all available years, with a total value of $1,220.

Total Amount is formed as General ($1,220) + Research ($0) + Ownership ($0) = $1,220.

Last reported payment date: 2023-12-19 • Largest payer in this snapshot: Novo Nordisk Inc ($200).

Total Amount

$1,220

General + Research + Ownership

Payments

78

Total payment records

General Amount

$1,220

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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 49503)

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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: 5698823250View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerMI
Nurse PractitionerMI
Family PracticeMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

What is DIANA LIGHTFOOT (PA)'s NPI number?
DIANA LIGHTFOOT (PA)'s NPI is 1053414128 — the number used across U.S. healthcare to identify this provider.
Is DIANA LIGHTFOOT (PA) shown as active in public data?
Registry records indicate DIANA LIGHTFOOT (PA) maintains an active NPI.
How would a patient describe DIANA LIGHTFOOT (PA)'s focus?
For DIANA LIGHTFOOT (PA), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Michigan is DIANA LIGHTFOOT (PA) registered?
Use Grand Rapids, Michigan as the headline location for DIANA LIGHTFOOT (PA) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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