Individual provider Active NPI

Lisa Hoekstra, M.D.

  • Family Medicine Physician
  • Grand Rapids, MI
National Provider Identifier
1063518785
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
LH062137 Issued in MI
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

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1063518785MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lhoekstra@greenwaydirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040616000587 MI Practitioner - Family Practice 7517941941 Reassigns benefits to 1 organization
I20220127000090 TX Practitioner - Family Practice 7517941941 Reassigns benefits to 1 organization

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
Nottawaseppi Huron Band of the PotawatomiGroup PAC ID 2769441286, 8 clinicians

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

LicenseStateTypeSpecialty
LH062137MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Synanon Inc CurrentSince Jan 13, 2015 Accepting new patients
Nottawaseppi Huron Band of the Potawatomi CurrentSince Jan 17, 2022 Accepting new patients
Spectrum Health Hospitals Past Accepting new patients
Mercy Health Partners PastSince Sep 1, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.