Great Lakes Neurosurgical Associates, PC
NPI 1366590929 · Neurological Surgery Physician · Grand Rapids, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Great Lakes Neurosurgical Associates, PC is a Neurological Surgery Physician organization in Grand Rapids, MI (NPI 1366590929).
Provider details
- NPI number
- 1366590929
- Entity type
- Organization
- Primary specialty
- Neurological Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lisa Santos, Executive Director(616) 242-7042
- License
- LH029420 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-08
- Last updated
- 2023-10-24
- Certified
- 2023-10-24
Frequently asked questions
- What is Great Lakes Neurosurgical Associates, PC's NPI number?
- Great Lakes Neurosurgical Associates, PC's National Provider Identifier (NPI) is 1366590929, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great Lakes Neurosurgical Associates, PC?
- Great Lakes Neurosurgical Associates, PC is classified in the NPPES registry as Neurological Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Great Lakes Neurosurgical Associates, PC located?
- Great Lakes Neurosurgical Associates, PC's practice location on file with NPPES is 3350 Eagle Park Dr Ne Ste 102, Grand Rapids, MI 49525-4570.
- What is Great Lakes Neurosurgical Associates, PC's phone number?
- The practice phone number listed in the NPPES registry for Great Lakes Neurosurgical Associates, PC is (616) 454-3465.
- Does Great Lakes Neurosurgical Associates, PC accept Medicare?
- Great Lakes Neurosurgical Associates, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Great Lakes Neurosurgical Associates, PC?
- The authorized official listed on Great Lakes Neurosurgical Associates, PC's NPPES record is Lisa Santos, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great Lakes Neurosurgical Associates, PC's NPI active?
- Yes — Great Lakes Neurosurgical Associates, PC's NPI (1366590929) is active in the NPPES registry as of the last update on 2023-10-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.