MR. ROBERT POEHL (PA C) – Physician Assistant, NPI 1710914650

MR. ROBERT POEHL (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. 5601002604 (MI). The NPI Number for MR. ROBERT POEHL (PA C) is 1710914650

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
MR. ROBERT POEHL (PA C)
NPI
1710914650
Phone
(616) 486-6790
Address
100 MICHIGAN ST NE # MC845
Enumeration Date
27 June 2006
Last Update Date
28 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2316897330
Graduation Year
1996 (30 years ago)
PAC ID
6002899325
Group Practice PAC ID
5092885384
Professional Enrollment ID
I20040609000240
Address ID
MI493498795WH1049XSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

6,066 PHYSICIAN ASSISTANT in MI

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Provider Addresses for MR. ROBERT POEHL (PA C)

  • 100 MICHIGAN ST NE # MC845

    GRAND RAPIDS, MI 495032560

    Phone: (616) 486-6790

    Fax: (616) 486-6702

    Type: Mailing

  • 230, South Maple Street, Grant Park, Kankakee County, Illinois, 60940, United States

    GRANT, MI 493279006

    Phone: (231) 834-5995

    Fax: (231) 834-0248

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $252.

Total Amount is formed as General ($252) + Research ($0) + Ownership ($0) = $252.

Last reported payment date: 2024-12-06 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($68).

Total Amount

$252

General + Research + Ownership

Payments

12

Total payment records

General Amount

$252

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-06

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: 2004-06-09

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
I20040609000240IPhysician 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes10442$0
99214Established patient office or other outpatient visit, 30-39 minutes10245$0
View full utilization report →

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: 5092885384View full group profile
NameSpecialtyState
P S Y C H I A T R YMI
Clinical Social WorkerMI
P S Y C H I A T R YMI
-FL

Reviews

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Frequently asked questions

Can I cross-check MR. ROBERT POEHL (PA C) using NPI 1710914650?
NPI 1710914650 belongs to MR. ROBERT POEHL (PA C); compare other details if you need extra assurance.
Is MR. ROBERT POEHL (PA C) shown as active in public data?
Registry records indicate MR. ROBERT POEHL (PA C) maintains an active NPI.
What expertise is attributed to MR. ROBERT POEHL (PA C)?
MR. ROBERT POEHL (PA C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MR. ROBERT POEHL (PA C) located near Grand Rapids?
MR. ROBERT POEHL (PA C) currently maps to Grand Rapids, Michigan in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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