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

Lora Commissaris, PA

Individual provider Physician Assistant · NPI 1790387835

Lora Commissaris, PA is a Physician Assistant in Wayland, Michigan. Graduated from Western Un of Hlth Sciences, Col of Podiatric Med in 2020, 6 years ago. Practices with Pennock Hospital, a 76-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Trained at
Western Un of Hlth Sciences, Col of Podiatric Med
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.

See every abbreviation used in this directory →

Practice location Address checks out

12851 W M 179 Hwy
Wayland, MI 49348-9318
Phone: (877) 377-7322
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601010293 (MI)

Record details

NPI number1790387835
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 13, 2020
Last updated in NPPESJuly 5, 2022
Certification dateJuly 5, 2022
Mailing address100 Michigan St Ne, Grand Rapids, MI 49503-2560

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWESTERN UN OF HLTH SCIENCES, COL OF PODIATRIC MED
Graduated 2020 (6 years in practice)
Group practice Pennock Hospital — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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