Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carrie Ruth Roberson, PA

Individual provider Physician Assistant · NPI 1346248564

Carrie Ruth Roberson, PA is a Physician Assistant in Grand Haven, Michigan. Qualified in 1999, 27 years ago. Practices with Holland Community Hospital, a 175-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
27
Licensed in
MI
In the registry since
2005
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1600 S Beacon Blvd
Grand Haven, MI 49417-2654
Phone: (616) 344-1033
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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 5601003155 (MI)

Record details

NPI number1346248564
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 12, 2005
Last updated in NPPESJuly 28, 2022
Certification dateJuly 28, 2022
Mailing address1600 S Beacon Blvd, Grand Haven, MI 49417-2654

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Holland Community Hospital — 175 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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