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

Danielle Godwin, PA-C

Individual provider Physician Assistant · NPI 1164063509

Danielle Godwin, PA-C is a Physician Assistant in Grand Rapids, Michigan. Qualified in 2019, 7 years ago. Practices with Pine Rest Christian Mental Health Services, a 353-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2019
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

3225 N Evergreen Dr NE
Grand Rapids, MI 49525-9334
Phone: (616) 364-1500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6505 Cherry Meadow Dr Se, Caledonia, MI 49316-9484 — (616) 891-8770
  • 300 68th St Se, Grand Rapids, MI 49548-6927 — (616) 455-5270

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601009494 (MI)

Record details

NPI number1164063509
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 7, 2019
Last updated in NPPESNovember 6, 2024
Certification dateNovember 6, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Pine Rest Christian Mental Health Services — 353 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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