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

Individual provider Medical Physician Assistant · NPI 1679767222

Kate Meryl Supianoski, PA is a Physician Assistant in East Lansing, Michigan. Qualified in 2007, 19 years ago. Practices with Edward W Sparrow Hospital Association, a 694-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
19
Licensed in
MI
In the registry since
2007
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

4660 S Hagadorn Rd Ste 420
East Lansing, MI 48823
Phone: (517) 884-6100
Fax: (517) 884-6233
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601005114 (MI)

Record details

NPI number1679767222
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 28, 2007
Last updated in NPPESJune 9, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Edward W Sparrow Hospital Association — 694 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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