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

Elizabeth M Carlson, PA-C

Individual provider Physician Assistant · NPI 1316346752

Elizabeth M Carlson, PA-C is a Physician Assistant in Grand Rapids, Michigan. Qualified in 2014, 12 years ago. Practices with Shoreline Orthopaedic and Sports Medicine Clinic P L C, a 25-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
12
Licensed in
WI
In the registry since
2014
Specialties on file
2
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

235 Wealthy St SE
Grand Rapids, MI 49503-5247
Phone: (616) 840-8224
Fax: (616) 840-9690
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X
Physician Assistant Taxonomy 363A00000X · Licence 3404 (WI)

Record details

NPI number1316346752
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 21, 2014
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Shoreline Orthopaedic And Sports Medicine Clinic P L C — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Grand Rapids