Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cameron Lucas, PA-C

Individual provider Physician Assistant · NPI 1861345308

Cameron Lucas, PA-C is a Physician Assistant in Grand Rapids, Michigan. Qualified in 2023, 3 years ago. Practices with Total Extended Care Services PC, a 30-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2026
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1095 Medical Park Dr SE
Grand Rapids, MI 49546-3685
Phone: (616) 949-7220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601013613 (MI)

Record details

NPI number1861345308
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 16, 2026
Last updated in NPPESFebruary 16, 2026
Certification dateFebruary 16, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Total Extended Care Services Pc — 30 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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