Individual provider Active NPI

Kristin M Denig, PA

  • Physician Assistant
  • Harrisville, MI
National Provider Identifier
1053745919
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
205 N State St Ste a
Harrisville, MI 48740-9255
Phone
(989) 724-5655
Fax
(989) 358-3730
NPI assigned
Aug 28, 2013
Last updated
Jun 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MI Primary

Addresses

Primary practice location

205 N State St Ste a
Harrisville, MI 48740-9255

Mailing address

PO Box 655
Alpena, MI 49707-0655
Phone (989) 724-5655

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kristin.denig.p1@direct.alcona.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140513000721 MI Practitioner - Physician Assistant 5294968574 Reassigns benefits to 5 organizations
I20160111002759 FL Practitioner - Physician Assistant 5294968574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alcona Citizens for Health IncGroup PAC ID 5991691958, 65 clinicians

Practice addresses (Care Compare)

1185 US Hwy 23 N
Alcona Health Centers Alpena Servi
Alpena, MI 49707-8004
Phone (989) 356-4049

201 N Ripley Blvd
Alpena Public Schools Ella White El
Alpena, MI 49707-3403
Phone (989) 358-5993

205 N State St
Harrisville, MI 48740-9255
Phone (989) 724-5655

309 W Lake St
Ahc Wildcat Extension
Alpena, MI 49707-2216
Phone (989) 358-3998

3303 S 3Rd Ave
Alpena High School
Alpena, MI 49707-3307
Phone (989) 358-5213

346 Long Rapids PLZ
Alpena, MI 49707-1374
Phone (989) 358-3500

3500 S 3Rd Ave
Alpena Public School Thunder Bay Ju
Alpena, MI 49707-4105
Phone (989) 358-3500

PO Box
Suite 655
Alpena, MI 49707

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Michigan PLLC CurrentSince Jul 2, 2019 Accepting new patients
Alcona Citizens for Health, Inc. Physician Assistant CurrentSince May 15, 2023 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC CurrentSince May 29, 2019 Accepting new patients
Alcona Citizens for Health, Inc. CurrentSince May 15, 2023 Accepting new patients
Emerald Waters Inpatient Services LLC Past Accepting new patients
Alcona Citizens for Health, Inc. Physician Assistant PastSince Jun 11, 2023 Accepting new patients
Alcona Citizens for Health Inc Past Accepting new patients

Locations

818 Riverside Ave
Adrian, MI 49221
Phone (517) 263-0711

1035 W Washington Ave
Alpena, MI 49707

177 N Barlow Rd
Harrisville, MI 48740
Phone (989) 736-3020

1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

Interoperability endpoints

  • Direct secure messaging: kristin.denig.p1@direct.alcona.nextgenshare.com

Organizations & group practices 12

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

Hospital & facility affiliations 3

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": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1053745919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 655",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497070655",
            "telephone_number": "989-724-5655",
            "fax_number": "989-358-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N STATE ST STE A",
            "city": "HARRISVILLE",
            "state": "MI",
            "postal_code": "487409255",
            "telephone_number": "989-724-5655",
            "fax_number": "989-358-3730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENIG",
        "first_name": "KRISTIN",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-28",
        "last_updated": "2023-06-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristin.denig.p1@direct.alcona.nextgenshare.com",
            "affiliation": "N",
            "address_1": "205 N State St Ste A",
            "city": "Harrisville",
            "state": "MI",
            "country_code": "US",
            "postal_code": "487409255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisville, MI

Sources for this page

Verify at the official NPI Registry.