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

Kaylin Walters, PA

Individual provider Medical Physician Assistant · NPI 1164045142

Kaylin Walters, PA is a Physician Assistant in Grand Rapids, Michigan. Qualified in 2020, 6 years ago. Practices with Ronald Vanderlaan, MD, PLLC, a 3-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2020
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

655 Kenmoor Ave SE Ste 101
Grand Rapids, MI 49546-8622
Phone: (616) 900-9911
Fax: (616) 900-9862
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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 5601010540 (MI)

Record details

NPI number1164045142
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 25, 2020
Last updated in NPPESApril 13, 2026
Certification dateApril 13, 2026

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 Ronald Vanderlaan, Md, Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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