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

Individual provider Physician Assistant · NPI 1093529729

Justin Kyle Ernst, PA-C is a Physician Assistant in Grand Rapids, Michigan. Qualified in 2024, 2 years ago. Practices with Visionary Medical Services, PC, a 63-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
2
Licensed in
MI
In the registry since
2025
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

1840 Wealthy St SE
Grand Rapids, MI 49506-2921
Phone: (616) 391-1730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4100 Embassy Dr Se Ste 400, Grand Rapids, MI 49546-2416 — (616) 988-8220

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601013031 (MI)

Record details

NPI number1093529729
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 4, 2025
Last updated in NPPESMarch 4, 2025
Certification dateMarch 4, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Visionary Medical Services, Pc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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