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

Mackenzie Faith Lukas

Individual provider Physician Assistant · NPI 1871306118

Mackenzie Faith Lukas is a Physician Assistant in Grand Rapids, Michigan. Qualified in 2024, 2 years ago. Practices with Visionary Medical Services, PC, a 63-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2025

Practice location Address checks out

100 Michigan St NE
Grand Rapids, MI 49503-2560
Phone: (616) 391-1774
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1871306118
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 30, 2025
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 30, 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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