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

Graceson Caroline Maxa

Individual provider Physician Assistant · NPI 1396345575

Graceson Caroline Maxa is a Physician Assistant in Midland, Michigan. Qualified in 2020, 6 years ago. Practices with Edward W Sparrow Hospital Association, a 694-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2020
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Practice location Address checks out

4000 Wellness Dr
Midland, MI 48670-2000
Phone: (989) 794-5240
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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 5601010272 (MI)

Record details

NPI number1396345575
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 28, 2020
Last updated in NPPESJune 7, 2022
Certification dateJune 7, 2022
Mailing address4000 Wellness Dr, Midland, MI 48670-0001

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Edward W Sparrow Hospital Association — 694 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Midland