Individual provider Active NPI

Kacie Lynn Christensen, FNP-BC

  • Family Nurse Practitioner
  • Novi, MI
National Provider Identifier
1023760253
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704319096 Issued in MI
Practice address
26750 Providence Pkwy
Novi, MI 48374-1211
Phone
(248) 679-8000
NPI assigned
Jan 19, 2022
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704319096 MI
Family Nurse Practitioner 363LF0000X 4704319096 MI Primary

Addresses

Primary practice location

26750 Providence Pkwy
Novi, MI 48374-1211

Mailing address

150 Kristen CT
Linden, MI 48451-8450
Phone (810) 964-4915

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
I20250917001119 MI Practitioner - Nurse Practitioner 7012411770 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

21700 Northwestern Hwy
Suite 600
Southfield, MI 48075-4906

255 W Michigan Ave
Jackson, MI 49201-2218

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Pain Management Consultants-West, PC CurrentSince Aug 21, 2025 Accepting new patients
Michigan Pain Management Consultants, PC CurrentSince Jun 30, 2025 Accepting new patients

Locations

26750 Providence Pkwy
Novi, MI 48374
Phone (248) 465-4782

26750 Providence Pkwy
Ste 120
Novi, MI 48374
Phone (248) 679-8000

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

22255 Greenfield Rd
Ste 500
Southfield, MI 48075
Phone (248) 849-3142

21700 Northwestern Hwy
Ste 600
Southfield, MI 48075
Phone (248) 559-6664

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.

NPI Registry JSON

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1023760253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 KRISTEN CT",
            "city": "LINDEN",
            "state": "MI",
            "postal_code": "484518450",
            "telephone_number": "810-964-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26750 PROVIDENCE PKWY",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741211",
            "telephone_number": "248-679-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "KACIE",
        "middle_name": "LYNN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-19",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704319096",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704319096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.