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

Lydia Fales, PA-C

Individual provider Physician Assistant · NPI 1962116962

Lydia Fales, PA-C is a Physician Assistant in Grand Rapids, Michigan. Qualified in 2019, 7 years ago. Practices with Ecs Western Michigan PC, a 201-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2023
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4100 Embassy Dr SE Ste 400
Grand Rapids, MI 49546-2416
Phone: (616) 988-8220
Fax: (616) 957-3220
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601011578 (MI)

Record details

NPI number1962116962
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 13, 2023
Last updated in NPPESJanuary 24, 2023
Certification dateJanuary 24, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ecs Western Michigan Pc — 201 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Grand Rapids