Doctor profile · Federal record
Dr. Mary Charleston, P.A.-C
Physician Assistant · Grand Rapids, MI
- NPI 1083015630
- Accepts Medicare
- MIPS 93.8 / 100 · 2023
- 12 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
275 Michigan St Ne
Grand Rapids, MI 495032531
(616) 391-2802
fax (616) 391-2840 - Mailing address
-
100 Michigan St Ne # Mc845
Grand Rapids, MI 495032560
Credentials & registration
- NPI registered
- September 2014 — 12 yrs on file
- Profile last updated
- December 19, 2024
- Year of graduation
- 2014 — 12 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Michigan #5601008287
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1083015630. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$1,216
Transactions
8
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Abbott Laboratories | 6 | $1,174.56 | |
| Smith+Nephew, INC. | 2 | $41.27 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Mary Charleston's medical specialty?
Dr. Mary Charleston practices Physician Assistant in Grand Rapids, MI.
Where does Dr. Mary Charleston practice?
Dr. Mary Charleston practices at 275 Michigan St Ne, Grand Rapids, MI 495032531. Office phone: 6163912802.
What is Dr. Mary Charleston's NPI?
Dr. Mary Charleston's National Provider Identifier (NPI) is 1083015630, issued by NPPES.
Does Dr. Mary Charleston accept Medicare assignment?
Yes. Dr. Mary Charleston accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.