Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michelle Vicky Wolfsen, PA-C

Individual provider Physician Assistant · NPI 1871574046

Michelle Vicky Wolfsen, PA-C is a Physician Assistant in Grand Haven, Michigan. Qualified in 2005, 21 years ago. Practices with Mercy Specialty Services, a 84-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
21
Licensed in
MI
In the registry since
2005
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

15100 Whittaker Way
Grand Haven, MI 49417-8696
Phone: (616) 774-8345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601004565 (MI)

Record details

NPI number1871574046
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 7, 2005
Last updated in NPPESJuly 7, 2023
Certification dateJuly 7, 2023
Mailing address100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Mercy Specialty Services — 84 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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