Individual provider Active NPI

Keri Lynn Rose Kordie

  • Advanced Practice Midwife
  • Battle Creek, MI
National Provider Identifier
1093329740
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
CNM06201 Issued in MI
Practice address
3238 Capital Ave SW
Battle Creek, MI 49015-4302
Phone
(269) 979-6432
NPI assigned
Sep 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APRN11022186 FL
Advanced Practice Midwife 367A00000X CNM06201 MI Primary

Addresses

Primary practice location

3238 Capital Ave SW
Battle Creek, MI 49015-4302

Mailing address

1466 S Lakeshore Dr
Lake City, MI 49651-9002
Phone (269) 207-0317

Other practice location 1

1560 Turf Ln
East Lansing, MI 48823-6392
Phone (517) 484-3000

Other practice location 2

1100 S Cedar St
Mason, MI 48854-2086
Phone (517) 484-3000

Other practice location 3

2501 N Orange Ave Ste 513
Orlando, FL 32804-4674
Phone (269) 207-0317

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address allianceobgyn@aog.allscriptsdirect.net
Direct Messaging Address direct@direct.bronsonhg.org Direct Bronson HealthCare Group

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210712002171 MI Practitioner - Certified Nurse Midwife (CNM) 0749682888 Reassigns benefits to 4 organizations
I20221202002304 FL Practitioner - Certified Nurse Midwife (CNM) 0749682888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bronson Battle Creek HospitalGroup PAC ID 0547173478, 187 clinicians

Practice addresses (Care Compare)

3238 Capital Ave SW
Bronson OB/GYN Capital Ave SW
Battle Creek, MI 49015-4302
Phone (269) 979-6432

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
APRN11022186FLMDAdvanced Practice Midwife
CNM06201MIMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Promed Healthcare CurrentSince Feb 16, 2022 Accepting new patients
Community Health Center of Branch County CurrentSince Sep 13, 2022 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Dec 30, 2022 Accepting new patients
Ascension Medical Group Promed Current Accepting new patients
Bronson Battle Creek Hospital CurrentSince Apr 1, 2024 Accepting new patients
Bronson Methodist Hospital CurrentSince Apr 1, 2024 Accepting new patients
Ascension Medical Group Promed CurrentSince Feb 16, 2022 Accepting new patients
Regio T Penna MD, PC Current Accepting new patients
Community Health Center of Branch County Current Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Dec 30, 2022 Accepting new patients
Community Health Center of Branch County CurrentSince Sep 13, 2022 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Apr 1, 2024 Accepting new patients
Community Health Center of Branch County Current Accepting new patients

Locations

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

2501 N Orange Ave
Ste 513
Orlando, FL 32804
Phone (407) 303-0410

3238 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 979-6432

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

274 E Chicago St
Coldwater, MI 49036
Phone (517) 279-5400

275 N Fremont St
Coldwater, MI 49036
Phone (517) 279-5295

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

1717 Shaffer St
Kalamazoo, MI 49048
Phone (269) 226-5050

601 John St
Ste N1200
Kalamazoo, MI 49007
Phone (269) 341-7887

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: direct@direct.bronsonhg.org
  • Direct secure messaging: allianceobgyn@aog.allscriptsdirect.net

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1093329740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1466 S LAKESHORE DR",
            "city": "LAKE CITY",
            "state": "MI",
            "postal_code": "496519002",
            "telephone_number": "269-207-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3238 CAPITAL AVE SW",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490154302",
            "telephone_number": "269-979-6432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1560 Turf Ln",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488236392",
            "country_code": "US",
            "telephone_number": "517-484-3000",
            "fax_number": "517-484-6358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1100 S Cedar St",
            "address_purpose": "LOCATION",
            "city": "Mason",
            "state": "MI",
            "postal_code": "488542086",
            "country_code": "US",
            "telephone_number": "517-484-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 N Orange Ave Ste 513",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328044674",
            "country_code": "US",
            "telephone_number": "269-207-0317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KORDIE",
        "first_name": "KERI",
        "middle_name": "LYNN ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "APRN11022186",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MI",
            "license": "CNM06201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "allianceobgyn@aog.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1560 Turf Ln",
            "city": "East Lansing",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488236392",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson HealthCare Group Direct Address",
            "affiliationName": "Bronson HealthCare Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

Verify at the official NPI Registry.