Individual provider Active NPI

Karli Reich

  • Psychiatric/Mental Health Nurse Practitioner
  • Grand Rapids, MI
National Provider Identifier
1154861565
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704297263 Issued in MI
Practice address
1055 Medical Park Dr SE
Grand Rapids, MI 49546-3607
Phone
(616) 942-9610
NPI assigned
Mar 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704297263 MI Primary

Addresses

Primary practice location

1055 Medical Park Dr SE
Grand Rapids, MI 49546-3607

Mailing address

1055 Medical Park Dr SE
Grand Rapids, MI 49546-3607
Phone (616) 942-9610

Other practice location 1

6359 Wainscot Dr SE
Grand Rapids, MI 49546-7142
Phone (219) 929-8385

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
I20190917003990 MI Practitioner - Nurse Practitioner 1658601653 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smart Minds LLC 5 clinicians

Practice addresses (Care Compare)

2774 Birchcrest Dr SE
Grand Rapids, MI 49506-5477
Phone (616) 988-3422

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cherry Street Services, Inc. CurrentSince Aug 7, 2019 Accepting new patients
Smart Minds LLC CurrentSince Sep 21, 2025 Accepting new patients
Cherry Street Services, Inc CurrentSince Aug 7, 2019 Accepting new patients
Tapestry Psychiatric Staffing Services LLC Psychiatric/Mental Health CurrentSince Apr 28, 2025 Accepting new patients
Green Castle Recovery Centers, LLC. Past Accepting new patients
Sanford Psych Services LLC Past Accepting new patients
Sanford Psych Services LLC Past Accepting new patients
Lafayette Medical Specialists PLLC Past Accepting new patients
Sanford West LLC Past Accepting new patients
Sanford West LLC Past Accepting new patients

Locations

550 Cherry St SE
Grand Rapids, MI 49503
Phone (616) 235-7272

100 Cherry St SE
Grand Rapids, MI 49503
Phone (616) 965-8209

2774 Birchcrest Dr SE
Grand Rapids, MI 49506
Phone (616) 329-3264

Organizations & group practices 10

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": "1488499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1154861565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 MEDICAL PARK DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463607",
            "telephone_number": "616-942-9610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 MEDICAL PARK DR SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463607",
            "telephone_number": "616-942-9610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6359 Wainscot Dr SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495467142",
            "country_code": "US",
            "telephone_number": "219-929-8385",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REICH",
        "first_name": "KARLI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704297263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.