Individual provider Active NPI

Maria Lynn Kurlenda

  • Family Nurse Practitioner
  • Grand Rapids, MI
National Provider Identifier
1013480391
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704294252 Issued in MI
Practice address
1959 E Paris Ave SE
Grand Rapids, MI 49546-6272
Phone
(616) 363-7690
Fax
(616) 363-7680
NPI assigned
Jan 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704294252 MI Primary

Addresses

Primary practice location

1959 E Paris Ave SE
Grand Rapids, MI 49546-6272

Mailing address

1724 Rodney Cir NE
Grand Rapids, MI 49505-4439
Phone (616) 322-5218

Other names 1

  • Maria Lynn Vanderhoff Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190408000592 MI Practitioner - Nurse Practitioner 9032450762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Michigan Medical School, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Internal Medicine and Pediatrics of West Michigan LLCGroup PAC ID 6305090507, 8 clinicians

Practice addresses (Care Compare)

655 Kenmoor Ave SE
Suite 200
Grand Rapids, MI 49546-8622
Phone (616) 363-7690

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine and Pediatrics of West Michigan CurrentSince Feb 6, 2019 Accepting new patients
Dawm, PLC PastSince Apr 3, 2000 Accepting new patients

Locations

1959 East Paris Ave SE
Grand Rapids, MI 49546
Phone (616) 285-3700

655 Kenmoor Ave SE
Ste 200
Grand Rapids, MI 49546
Phone (616) 363-7690

Interoperability endpoints

  • Direct secure messaging: mkurlenda121058@epic00.corewelldirect.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1013480391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 RODNEY CIR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495054439",
            "telephone_number": "616-322-5218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 E PARIS AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466272",
            "telephone_number": "616-363-7690",
            "fax_number": "616-363-7680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURLENDA",
        "first_name": "MARIA",
        "middle_name": "LYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704294252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "VANDERHOFF",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.