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Deactivated NPI 1104563873 Deactivated / Inactive NPI Female Practitioner

Ashley Nicole Brush , PA-C

Physician Assistant • Grand Rapids, MI

✓ Accepts Medicare Assignment
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Ashley Brush has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 16, 2022
NPI Deactivation Date September 10, 2025
Total Practice Duration ~1 Years of Practice (2025 – 2025)

Professional Overview & Biography Verified Profile Summary

Ashley Brush, PA-C was a registered Physician Assistant practicing in Grand Rapids, MI. Throughout an active medical career spanning 1 years, Ashley Brush provided care at the practice location at 100 MICHIGAN ST NE until profile deactivation on 2025-09-10.

Ashley Brush was affiliated with Spectrum Health Primary Care Partners and accepted Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

100 Michigan St Ne

Grand Rapids, MI 495032560

Telephone 6168855000
Associated Practice Facility / Clinic
🏢 Spectrum Health Hospitals Facility NPI 1922090554

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Grand Rapids, MI

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -10.4 yrs vs City Avg
City Avg: 11.4 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
920 Specialists

Practicing in Grand Rapids, MI (7057 Statewide)

Telehealth Adoption Rate
17.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Brush (1 Years) 1 Yrs
Grand Rapids Specialty Average (11.4 Years) 11.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-01-06
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI 5601013290

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Spectrum Health Primary Care Partners

100 Michigan Ave Ne, Grand Rapids, MI 495032560

Spectrum Health Primary Care Partners

4444 Kalamazoo Ave Se, Kentwood, MI 495084600

Phone: 6163915600

Spectrum Health Primary Care Partners

100 Michigan St Ne Rm, Grand Rapids, MI 495032560

Phone: 6162670115

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Mark Colton , PA-C

Physician Assistant

NPI 1013102953

Physician Assistant (Certified)

Dr. Timothy Joseph , MD

Internal Medicine - Interventional Cardiology

NPI 1013328236

Doctor of Medicine (M.D.)

Dr. Ali Mahajerin , MD

Internal Medicine - Cardiovascular Disease

NPI 1033269816

Doctor of Medicine (M.D.)

Dr. Andrew Lacombe , MD

Internal Medicine - Clinical Cardiac Electrophysiology

NPI 1033642095

Doctor of Medicine (M.D.)

Dr. Wissam Abdallah , MD

Internal Medicine - Cardiovascular Disease

NPI 1043410145

Doctor of Medicine (M.D.)

Dr. Raymond Roden , MD

Internal Medicine - Interventional Cardiology

NPI 1053392985

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Business Mailing Address January 06, 2026

Registered at 100 MICHIGAN ST NE, MC845, GRAND RAPIDS, MI 495032560

📍
Updated Practice Location October 13, 2025

Registered at 100 MICHIGAN ST NE, GRAND RAPIDS, MI 495032560 (Tel: 6163911774)

📍
Updated Business Mailing Address October 13, 2025

Registered at 100 MICHIGAN ST NE, GRAND RAPIDS, MI 495032560 (Tel: 6163911774)

👤
Provider Name / Credentials Updated October 13, 2025

Recorded as ASHLEY BRUSH, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2025

Physician Assistant (License #5601013290 in MI)

🔄
NPI Profile Reactivated October 02, 2025

Record officially reactivated for active practice on October 02, 2025

⚠️
NPI Profile Deactivated September 10, 2025

Record deactivated on September 10, 2025

NPI Profile Active May 16, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location May 16, 2022

Registered at 2236 BROOK DR, KALAMAZOO, MI 490482806 (Tel: 2694927205)

📍
Updated Business Mailing Address May 16, 2022

Registered at 2236 BROOK DR, KALAMAZOO, MI 490482806 (Tel: 2694927205)

👤
Provider Name / Credentials Updated May 16, 2022

Recorded as ASHLEY BRUSH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2022

Technician

🟢
Initial NPI Registration & Enumeration May 16, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104563873
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 16, 2022
Last Update: January 06, 2026
Deactivation Date: September 10, 2025
Sole Proprietor: No

Mailing Address

100 Michigan St Ne, Mc845

Grand Rapids, MI 495032560

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.