Doctor profile · Federal record
Dr. Audrey Macciomei
Physician Assistant · Grand Rapids, MI
- NPI 1639927593
- 2 yrs on file
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
630 Kenmoor Ave Se Ste 103
Grand Rapids, MI 495468626
(616) 600-4950 - Mailing address
-
1023 Helen St Ne Unit 1
Grand Rapids, MI 495033670
Credentials & registration
- NPI registered
- May 2024 — 2 yrs on file
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Michigan #5601012216
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1639927593. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$347
Transactions
8
Manufacturers
7
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Astellas Pharma US INC | 2 | $219.81 | |
| Organon LLC | 1 | $26.79 | |
| Daiichi Sankyo INC. | 1 | $25.83 | |
| Teva Pharmaceuticals USA, INC. | 1 | $24.78 | |
| Bayer Healthcare Pharmaceuticals INC. | 1 | $20.86 | |
| Sumitomo Pharma America, INC. | 1 | $15.14 | |
| Iti, INC. (D/B/A Intra-Cellular Therapies, INC.) | 1 | $13.50 |
By nature of payment
Frequently asked questions
What is Dr. Audrey Macciomei's medical specialty?
Dr. Audrey Macciomei practices Physician Assistant in Grand Rapids, MI.
Where does Dr. Audrey Macciomei practice?
Dr. Audrey Macciomei practices at 630 Kenmoor Ave Se Ste 103, Grand Rapids, MI 495468626. Office phone: 6166004950.
What is Dr. Audrey Macciomei's NPI?
Dr. Audrey Macciomei's National Provider Identifier (NPI) is 1639927593, issued by NPPES.