Individual provider Active NPI

Patricia Koning, GNP-C

  • Nurse Practitioner
  • Kalamazoo, MI
National Provider Identifier
1144274002
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704160886 Issued in MI
Practice address
7100 Stadium Dr
Kalamazoo, MI 49009-9423
Phone
(269) 345-0273
NPI assigned
May 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704160886 MI Primary

Addresses

Primary practice location

7100 Stadium Dr
Kalamazoo, MI 49009-9423

Mailing address

7100 Stadium Dr
Kalamazoo, MI 49009-9423
Phone (231) 349-1306

Other practice location 1

2366 Oak Valley Dr
Ann Arbor, MI 48103-8944
Phone (877) 227-8823

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
I20111004000409 MI Practitioner - Nurse Practitioner 4981876513 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Northstar Palliative Care IncGroup PAC ID 6800148677, 26 clinicians

Practice addresses (Care Compare)

2366 Oak Valley Dr
Ann Arbor, MI 48103-8944
Phone (877) 227-8823

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704160886MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Newaygo County General Hospital Association Current Accepting new patients
Hospice Care of Southwest Michigan CurrentSince Jul 1, 2025 Accepting new patients
Newaygo County General Hospital Association CurrentSince Aug 1, 2011 Accepting new patients
Newaygo County General Hospital Association CurrentSince Aug 1, 2011 Accepting new patients
Northstar Palliative Care Inc CurrentSince Jul 1, 2025 Accepting new patients
Advantage Health Physicians PC Past Accepting new patients
Michigan Medical Patient Care Past Accepting new patients
Michigan Medical Patient Care Past Accepting new patients

Locations

2366 Oak Valley Dr
#A
Ann Arbor, MI 48103

2366 Oak Valley Dr
Ann Arbor, MI 48103
Phone (734) 662-5999

212 S Sullivan Ave
Fremont, MI 49412
Phone (231) 924-1212

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

7100 Stadium Dr
Kalamazoo, MI 49009
Phone (269) 345-0273

Organizations & group practices 8

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1144274002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 STADIUM DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490099423",
            "telephone_number": "231-349-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 STADIUM DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490099423",
            "telephone_number": "269-345-0273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2366 Oak Valley Dr",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481038944",
            "country_code": "US",
            "telephone_number": "877-227-8823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KONING",
        "first_name": "PATRICIA",
        "credential": "GNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704160886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.