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Dr. Elizabeth Renee Prentice , DO

Pediatrics β€’ Grand Rapids, MI

Active NPI 1396946331 Individual Practitioner Female Practitioner
Practice location in NPPES

100 Michigan St Ne
Grand Rapids, MI 495032560

Call 6162670118 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

100 Michigan St Ne

Grand Rapids, MI 495032560

Telephone 6162670118
Fax 6162670090
Organization at the Same NPPES Address or Phone
Spectrum Health Hospitals Facility NPI 1922090554

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Open Payments general payments, program year 2023

All general payments: $1,289.69 across 14 records.

By nature of payment

  • Travel and Lodging: $965.53 across 7 records.
  • Food and Beverage: $324.16 across 7 records.

Reporting-company totals

  • Abbott Laboratories: $1,289.69 across 14 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2023 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Prentice has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Prentice as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Grand Rapids and Michigan

251 active clinicians are listed under Pediatrics with a practice address in Grand Rapids, MI (2,181 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Grand Rapids

0.8% of these 251 clinicians have the CMS telehealth indicator.

12.4% of these 251 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2023

Program year 2023 (payments made January 1 – December 31, 2023): 14 records totaling $1,289.69.

Manufacturer Payment Nature Product Type Amount ($)
Abbott Laboratories
Travel and Lodging
In-kind items and services
THORATEC HEARTMATE 3 LVAS IMPLANT KIT General $339.09
Abbott Laboratories
Travel and Lodging
In-kind items and services
THORATEC HEARTMATE 3 LVAS IMPLANT KIT General $291.40
Abbott Laboratories
Travel and Lodging
In-kind items and services
THORATEC HEARTMATE 3 LVAS IMPLANT KIT General $234.76
Abbott Laboratories
Food and Beverage
In-kind items and services
THORATEC HEARTMATE 3 LVAS IMPLANT KIT General $133.91
Abbott Laboratories
Travel and Lodging
In-kind items and services
THORATEC HEARTMATE 3 LVAS IMPLANT KIT General $67.05
Abbott Laboratories
Food and Beverage
In-kind items and services
THORATEC HEARTMATE 3 LVAS IMPLANT KIT General $48.58
Abbott Laboratories
Food and Beverage
In-kind items and services
THORATEC HEARTMATE 3 LVAS IMPLANT KIT General $39.56
Abbott Laboratories
Food and Beverage
In-kind items and services
THORATEC HEARTMATE 3 LVAS IMPLANT KIT General $34.89
Abbott Laboratories
Food and Beverage
In-kind items and services
THORATEC HEARTMATE 3 LVAS IMPLANT KIT General $31.20
Abbott Laboratories
Food and Beverage
In-kind items and services
THORATEC HEARTMATE 3 LVAS IMPLANT KIT General $25.07
Abbott Laboratories
Travel and Lodging
In-kind items and services
THORATEC HEARTMATE 3 LVAS IMPLANT KIT General $12.08
Abbott Laboratories
Travel and Lodging
In-kind items and services
THORATEC HEARTMATE 3 LVAS IMPLANT KIT General $12.08
Abbott Laboratories
Food and Beverage
In-kind items and services
THORATEC HEARTMATE 3 LVAS IMPLANT KIT General $10.95
Abbott Laboratories
Travel and Lodging
In-kind items and services
THORATEC HEARTMATE 3 LVAS IMPLANT KIT General $9.07

Source: CMS Open Payments, program year 2023, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-06-04
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES MI 5101016800

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics - Pediatric Critical Care Medicine

NUCC Taxonomy Code: 2080P0203X

License # reported to NPPES MI 5101016800

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20090608000505

Enrollment State Jurisdiction

MI

PECOS Control ID

4486704780

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Samantha Hyzer , NP

Nurse Practitioner - Family

NPI 1417528787

Nurse Practitioner

Stacey Rivet , FNP

Nurse Practitioner

NPI 1659486041

Family Nurse Practitioner

NPI 1225522410

Doctor of Medicine (M.D.)

NPI 1841828332

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 04, 2025

Pediatrics (license number reported to NPPES: MI 5101016800)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2022

Pediatrics (license number reported to NPPES: MI 5101016800)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2021

Anesthesiology (license number reported to NPPES: MI 5101016800)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2020

Anesthesiology (license number reported to NPPES: MI 5101016800)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 14, 2020

Pediatrics (license number reported to NPPES: MI 5101016800)

βœ…
NPI Profile Active June 12, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 12, 2015

Registered at 100 MICHIGAN ST NE, GRAND RAPIDS, MI 495032560 (Tel: 6162670118)

πŸ“
Business Mailing Address (Initial Record) June 12, 2015

Registered at 100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 495032560

πŸ‘€
Provider Name / Credentials (Initial Record) June 12, 2015

Recorded as ELIZABETH PRENTICE, D.O.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2015

Anesthesiology (license number reported to NPPES: MI 5101016800)

🟒
Initial NPI Registration & Enumeration May 29, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1396946331
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 29, 2007
Last Update: June 04, 2025
Sole Proprietor: No

Other Pediatrics Specialists in Grand Rapids

All Pediatrics Specialists in Grand Rapids

Mailing Address

100 Michigan St Ne, Mc 845

Grand Rapids, MI 495032560

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.