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

Individual provider Physician Assistant · NPI 1407609589

Rachel Kisnonsky, PA-C is a Physician Assistant in Grand Rapids, Michigan. Qualified in 2023, 3 years ago. Practices with Cancer and Hematology Centers of Western Mi, PC, a 109-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2024
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

145 Michigan St NE Ste 3100
Grand Rapids, MI 49503-2563
Phone: (616) 954-9800
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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 5601012330 (MI)

Record details

NPI number1407609589
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 9, 2024
Last updated in NPPESApril 17, 2024
Certification dateApril 17, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Cancer And Hematology Centers Of Western Mi, P.C. — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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