Individual provider Active NPI

Krisshonda D McKinney, FNP-C

  • Family Nurse Practitioner
  • Flint, MI
National Provider Identifier
1013796291
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704340305 Issued in MI
Practice address
102 W Pierson Rd
Flint, MI 48505-3348
Phone
(810) 222-3033
NPI assigned
Sep 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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 4704340305 MI Primary

Addresses

Primary practice location

102 W Pierson Rd
Flint, MI 48505-3348

Mailing address

PO Box 746723
Atlanta, GA 30374-6723
Phone (312) 733-9730

Other practice location 1

3720 Katalin Ct
Bay City, MI 48706-2106
Phone (989) 686-2800

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
I20250904001350 MI Practitioner - Nurse Practitioner 4284136839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Saginaw Valley Medical College - NLG, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh Mi Physicians Group, PC 154 clinicians

Practice addresses (Care Compare)

102 W Pierson Rd
Flint, MI 48505-3348
Phone (810) 222-3033

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704340305MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Health Clinic PC Internal Medicine Current Accepting new patients
Osh-Mi Physicians Group PC Internal Medicine CurrentSince Sep 29, 2025 Accepting new patients
West Bay Medical Center PLLC Internal Medicine Current Accepting new patients
Osh Mi Physicians Group, PC CurrentSince Sep 29, 2025 Accepting new patients
Osh-Mi Physicians Group PC Internal Medicine Past Accepting new patients

Locations

3720 Katalin Ct
Bay City, MI 48706
Phone (989) 391-9223

102 W Pierson Rd
Flint, MI 48505
Phone (810) 222-3033

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1013796291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746723",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746723",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W PIERSON RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485053348",
            "telephone_number": "810-222-3033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3720 Katalin Ct",
            "address_purpose": "LOCATION",
            "city": "Bay City",
            "state": "MI",
            "postal_code": "487062106",
            "country_code": "US",
            "telephone_number": "989-686-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "KRISSHONDA",
        "middle_name": "D",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-26",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704340305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.