Active NPI
Kacie Lynn Christensen, FNP-BC
- Family Nurse Practitioner
- Novi, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704319096
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Pain Management Consultants-West, PC | Current | Accepting new patients | |
| Michigan Pain Management Consultants, PC | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.