Individual provider Active NPI

Kathryn Chirstine Lynch

  • Family Medicine Physician
  • Mt Pleasant, MI
National Provider Identifier
1083197321
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5600008788 Issued in MI
Practice address
202 Foust Hall
Mt Pleasant, MI 48859-0001
Phone
(989) 774-6599
Fax
(989) 774-4335
NPI assigned
Sep 12, 2018
Last updated
Sep 12, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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 5600008788 MI Primary

Addresses

Primary practice location

202 Foust Hall
Mt Pleasant, MI 48859-0001

Mailing address

202 Foust Hall
Mt Pleasant, MI 48859-0001
Phone (989) 774-6599

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181002000772 MI Practitioner - Physician Assistant 4880945856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Michigan UniversityGroup PAC ID 3577558907, 13 clinicians

Practice addresses (Care Compare)

1101 Health Professions BLDG
Mt Pleasant, MI 48859-0001
Phone (989) 774-3904

202 Foust Hall
Mt Pleasant, MI 48859-0001

202 Foust HL
Mt Pleasant, MI 48859-0001
Phone (989) 774-3059

Rose
100 Cmu Sports Medicine
Mt Pleasant, MI 48859-0001
Phone (989) 774-2281

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5600008788MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Michigan University CurrentSince Sep 11, 2018 Accepting new patients
Central Michigan University Family Medicine CurrentSince Sep 11, 2018 Accepting new patients
Saginaw Cooperative Hospital Inc Past Accepting new patients
Central Michigan University Past Accepting new patients

Locations

202 Foust Hall
Mount Pleasant, MI 48859
Phone (989) 774-1748

202 Foust Hl
Mount Pleasant, MI 48859
Phone (989) 774-3059

1280 E Campus Dr
Ste 2104
Mt Pleasant, MI 48859
Phone (989) 774-6599

Organizations & group practices 4

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": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1083197321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 FOUST HALL",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488590001",
            "telephone_number": "989-774-6599",
            "fax_number": "989-774-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 FOUST HALL",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488590001",
            "telephone_number": "989-774-6599",
            "fax_number": "989-774-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "KATHRYN",
        "middle_name": "CHIRSTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5600008788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

Verify at the official NPI Registry.