Active NPI
Lisa Hoekstra, M.D.
- Family Medicine Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- LH062137
- Practice address
- 311 State St SE
Grand Rapids, MI 49503-4312 - Phone
- (616) 249-0159
- Fax
- (333) 936-7898
- NPI assigned
- Sep 16, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | LH062137 | MI | Primary |
Addresses
Primary practice location
311 State St SE
Grand Rapids, MI 49503-4312
Mailing address
311 State St SE
Grand Rapids, MI 49503-4312
Phone (616) 249-0159
Other practice location 1
1474 Mno-Bmadzewen Way
Fulton, MI 49052
Phone (269) 729-4422
Other practice location 2
11177 Michigan Ave E
Battle Creek, MI 49014-8904
Phone (269) 704-8304
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063518785 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lhoekstra@greenwaydirect.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
311 State St SE
NHBP Health Clinic
Grand Rapids, MI 49503-4312
Phone (616) 249-0159
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH062137 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synanon Inc | Current | Accepting new patients | |
| Nottawaseppi Huron Band of the Potawatomi | Current | Accepting new patients | |
| Spectrum Health Hospitals | Past | Accepting new patients | |
| Mercy Health Partners | Past | Accepting new patients | |
| Advantage Health Physicians PC | Family Medicine | Past | Accepting new patients |
Locations
1474 Bmadzewen Way
Fulton, MI 49052
Phone (269) 729-4422
1091 S Beacon Blvd
Grand Haven, MI 49417
Phone (616) 604-0096
311 State St SE
Grand Rapids, MI 49503
Phone (616) 249-0159
Interoperability endpoints
- lisa.hoekstra@nhbp.directbygreenway.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NHBP Health Department
- Federal Public Health Clinic/Center
- Wyoming, MI
- NPI 1770500548
TX
-
- Urgent Care Clinic/Center
- Grand Haven, MI
- NPI 1588650261
-
- Family Medicine Physician
- Grand Rapids, MI
- NPI 1386695252
-
dba Trinity Health Medical Group
- Certified Registered Nurse Anesthetist
- Shelby, MI
- NPI 1154910172
-
dba Corewell Health Grand Rapids Hospitals Urgent Care
- Urgent Care Clinic/Center
- Grand Rapids, MI
- NPI 1598712390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719964800000",
"number": "1063518785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 STATE ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495034312",
"telephone_number": "616-249-0159",
"fax_number": "833-393-6789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 STATE ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495034312",
"telephone_number": "616-249-0159",
"fax_number": "333-936-7898"
}
],
"practiceLocations": [
{
"address_1": "1474 Mno-Bmadzewen Way",
"address_purpose": "LOCATION",
"city": "Fulton",
"state": "MI",
"postal_code": "49052",
"country_code": "US",
"telephone_number": "269-729-4422",
"fax_number": "833-393-6789",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11177 Michigan Ave E",
"address_purpose": "LOCATION",
"city": "Battle Creek",
"state": "MI",
"postal_code": "490148904",
"country_code": "US",
"telephone_number": "269-704-8304",
"fax_number": "833-393-6789",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOEKSTRA",
"first_name": "LISA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2024-07-03",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "LH062137",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1063518785",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lhoekstra@greenwaydirect.com",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "311 State St SE",
"city": "Grand Rapids",
"state": "MI",
"country_code": "US",
"postal_code": "495034312",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.