JILL A NOACK (PA C) – Medical Physician Assistant, NPI 1891788261
Preparing for Medicare enrollment?
Use our CMS-855 prep checklist: which form applies (855I, 855O, or 855A), readiness score, NPPES field map, and Section 12 documents. Reassignment uses CMS-855I Section 4F—not the discontinued CMS-855R form.
Open Medicare 855 Prep tool →Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for JILL A NOACK (PA C)
Kenmoor Avenue Southeast, Eastmont, Grand Rapids Charter Township, Kent County, Michigan, 49547, United States
SUITE 100
GRAND RAPIDS, MI 495462379
Phone: (616) 954-9800
Fax: (616) 954-0659
Type: Mailing
145, Michigan Street Northeast, Grand Rapids, Kent County, Michigan, 49503, United States
SUITE 3100
GRAND RAPIDS, MI 495032562
Phone: (616) 954-9800
Fax: (616) 954-2116
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $150.
Total Amount is formed as General ($150) + Research ($0) + Ownership ($0) = $150.
Last reported payment date: 2023-11-28 • Largest payer in this snapshot: BeiGene USA, Inc. ($150).
Total Amount
$150
General + Research + Ownership
Payments
1
Total payment records
General Amount
$150
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| BeiGene USA, Inc. | $150 |
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 49546)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| Surgical Oncology | MI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MI | |
| General Surgery | MI | |
| - | MI | |
| Radiation Oncology | MI | |
| Nurse Practitioner | MI | |
| General Surgery | MI | |
| Gynecological Oncology | MI | |
| Radiation Oncology | IN |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.