Individual provider Active NPI

Kristen Lynne Patterson, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Clinton Township, MI
National Provider Identifier
1033557384
Registry record updated May 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5315074411 Issued in MI
Practice address
42550 Garfield Rd Ste 103
Clinton Township, MI 48038
Phone
(586) 263-4411
Fax
(586) 263-1151
NPI assigned
Jun 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5901002613 MI
Foot & Ankle Surgery Podiatrist 213ES0103X 5315074411 MI Primary

Addresses

Primary practice location

42550 Garfield Rd Ste 103
Clinton Township, MI 48038

Mailing address

42550 Garfield Rd
Ste 103
Clinton Township, MI 48038-1644
Phone (313) 808-0559

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160808001254 MI Practitioner - Podiatry 5395035372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thomas C Hosey DPM and Associates PCGroup PAC ID 5597740274, 3 clinicians

Practice addresses (Care Compare)

42550 Garfield Rd
Suite 103
Clinton Township, MI 48038-1644
Phone (586) 263-4411

Hospital & facility affiliations

  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue151
Removal of skin lesions1-10
Removal of nail tissue747
Removal or shaving of skin growth37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5315074411MIMDFoot & Ankle Surgery Podiatrist
5901002613MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas C Hosey DPM & Associates PC Podiatrist CurrentSince Jul 21, 2016 Accepting new patients

Locations

21510 Harrington St
Ste 302
Clinton Township, MI 48036
Phone (248) 804-5544

42550 Garfield Rd
Ste 103
Clinton Twp, MI 48038
Phone (586) 263-4411

253 Southbound Gratiot Ave
Mount Clemens, MI 48043
Phone (586) 468-0983

44344 Dequindre Rd
Ste 420
Sterling Heights, MI 48314

Interoperability endpoints

  • Direct secure messaging: kpatterson424826@direct.hfhs.org

Organizations & group practices 1

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 5

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": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526428800000",
    "number": "1033557384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42550 GARFIELD RD",
            "address_2": "STE 103",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381644",
            "telephone_number": "313-808-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42550 GARFIELD RD STE 103",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "48038",
            "telephone_number": "586-263-4411",
            "fax_number": "586-263-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "KRISTEN",
        "middle_name": "LYNNE",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-10",
        "last_updated": "2018-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901002613",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5315074411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.