Mykala Supplice, PAC
NPI 1790209070 · Physician Assistant · Grand Rapids, MI
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mykala Supplice, PAC is a Physician Assistant provider in Grand Rapids, MI (NPI 1790209070).
Provider details
- NPI number
- 1790209070
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- No
- License
- 5601011723 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
8 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 4 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Methocarbamol | 38 | 36 |
| Oxycodone Hcl | 23 | 21 |
| Doxycycline Monohydrate | 21 | 21 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 18 | 15 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$12 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-07-28
- Last updated
- 2024-03-25
- Certified
- 2024-03-25
Frequently asked questions
- What is Mykala Supplice's NPI number?
- Mykala Supplice's National Provider Identifier (NPI) is 1790209070, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mykala Supplice's specialty?
- Mykala Supplice is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mykala Supplice located?
- Mykala Supplice's practice location on file with NPPES is 1900 Wealthy St Se Ste 300, Grand Rapids, MI 49506-2969.
- What is Mykala Supplice's phone number?
- The practice phone number listed in the NPPES registry for Mykala Supplice is (616) 774-8345.
- Does Mykala Supplice accept Medicare?
- Mykala Supplice is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mykala Supplice's NPI active?
- Yes — Mykala Supplice's NPI (1790209070) is active in the NPPES registry as of the last update on 2024-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.