CATHERINE H HALLENBECK (PA-C) – Medical Physician Assistant, NPI 1104838564

CATHERINE H HALLENBECK (PA-C) is a healthcare provider. based in Grand rapids, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601004056 (MI). The NPI Number for CATHERINE H HALLENBECK (PA-C) is 1104838564

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
CATHERINE H HALLENBECK (PA-C)
NPI
1104838564
Phone
(616) 391-1680
Address
100 MICHIGAN ST NE
Enumeration Date
13 August 2006
Last Update Date
3 November 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6162856450
Graduation Year
2003 (23 years ago)
PAC ID
6901870427
Group Practice PAC ID
0941610596
Professional Enrollment ID
I20040820001101
Address ID
MI495061216GR2849XNEXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

6,066 PHYSICIAN ASSISTANT in MI

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Provider Addresses for CATHERINE H HALLENBECK (PA-C)

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

    GRAND RAPIDS, MI 495032560

    Phone: (616) 391-1680

    Type: Location

  • 2537 MOMENTUM PLACE

    CHICAGO, IL 606895325

    Phone: (616) 975-1845

    Fax: (616) 285-0846

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2024-05-23 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($125).

Total Amount

$125

General + Research + Ownership

Payments

1

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-23

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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-08-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040820001101IPhysician AssistantMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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: 0941610596View full group profile
NameSpecialtyState
Nurse PractitionerMI
Family PracticeMI
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI

Reviews

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Frequently asked questions

What is the standard ID for CATHERINE H HALLENBECK (PA-C) in the U.S.?
In the U.S., CATHERINE H HALLENBECK (PA-C) is identified by NPI 1104838564.
Is CATHERINE H HALLENBECK (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists CATHERINE H HALLENBECK (PA-C) as active.
Which specialty label fits CATHERINE H HALLENBECK (PA-C)?
NPPES ties CATHERINE H HALLENBECK (PA-C) to Medical Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to CATHERINE H HALLENBECK (PA-C)?
The directory associates CATHERINE H HALLENBECK (PA-C) with Grand Rapids, Michigan. Check all listed addresses for suites or satellite offices.
Who maintains CATHERINE H HALLENBECK (PA-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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