Individual provider Active NPI

Madeline Janelle Ginn-Terpstra, D.O

  • Neuromusculoskeletal Medicine & OMM Physician
  • Grand Rapids, MI
National Provider Identifier
1083149173
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
5101025735 Issued in MI
Practice address
3300 Eagle Run Dr NE Ste 103
Grand Rapids, MI 49525-7069
Phone
(616) 234-2830
Fax
(517) 234-2829
NPI assigned
Apr 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 5101025735 MI Primary

Addresses

Primary practice location

3300 Eagle Run Dr NE Ste 103
Grand Rapids, MI 49525-7069

Mailing address

804 Service Rd
Ste A109B
East Lansing, MI 48824-7015
Phone (616) 234-2830

Other practice location 1

1150 E Sherman Blvd
Suite 2400
Muskegon, MI 49444-1871
Phone (231) 672-6336

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201013003155 MI Practitioner - Osteopathic Manipulative Medicine 5698195634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Michigan State University College of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benjamin J Visger DO PLLCGroup PAC ID 3173818341, 6 clinicians

Practice addresses (Care Compare)

162 N Causeway St
North Muskegon, MI 49445-3302
Phone (231) 981-0150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101025735MIMDNeuromusculoskeletal Medicine & OMM Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Benjamin J Visger DO PLLC Neuromusculoskeletal Medicine & Omm CurrentSince Aug 1, 2022 Accepting new patients

Locations

3300 Eagle Run Dr NE
Ste 103
Grand Rapids, MI 49525
Phone (614) 360-9995

162 N Causeway St
North Muskegon, MI 49445
Phone (231) 744-3700

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1083149173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SERVICE RD",
            "address_2": "STE A109B",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488247015",
            "telephone_number": "616-234-2830",
            "fax_number": "616-234-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 EAGLE RUN DR NE STE 103",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495257069",
            "telephone_number": "616-234-2830",
            "fax_number": "517-234-2829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1150 E Sherman Blvd",
            "address_2": "Suite 2400",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494441871",
            "country_code": "US",
            "telephone_number": "231-672-6336",
            "fax_number": "231-672-6335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GINN-TERPSTRA",
        "first_name": "MADELINE",
        "middle_name": "JANELLE",
        "name_prefix": "Mrs.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-26",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "MI",
            "license": "5101025735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.