Active NPI
Kristina Powell
- Family Medicine Physician
- Grand Haven, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5101027549
- Practice address
- 1445 Sheldon Rd Ste 300
Grand Haven, MI 49417-2479 - Phone
- (616) 296-1500
- Fax
- (616) 296-1502
- NPI assigned
- May 3, 2022
- Last updated
- Jun 24, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101027549 | MI | Primary |
Addresses
Primary practice location
1445 Sheldon Rd Ste 300
Grand Haven, MI 49417-2479
Mailing address
1445 Sheldon Rd Ste 300
Grand Haven, MI 49417-2479
Phone (616) 296-1500
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2006 Holton Rd
Muskegon, MI 49445-1505
Phone (231) 672-3333
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Physician Network | Family Medicine | Current | Accepting new patients |
| Mercy Physician Network | Family Medicine | Current | Accepting new patients |
Locations
3443 Farr Rd
Fruitport, MI 49415
Phone (231) 672-2900
1445 Sheldon Rd
Ste 300
Grand Haven, MI 49417
Phone (616) 296-1500
2006 Holton Rd
North Muskegon, MI 49445
Phone (231) 672-3333
Interoperability endpoints
- https://api.platform.athenahealth.com/13864/brand/1/csg/1/fhir/r4
- kpowell1836921@direct.trinity-health.org
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Muskegon, MI
- NPI 1023056744
-
dba Fruitport Family Medicine
- Family Medicine Physician
- Fruitport, MI
- NPI 1639502701
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Health Muskegon
- General Acute Care Hospital
- Muskegon, MI
- NPI 1831132133
-
- General Acute Care Hospital
- Grand Haven, MI
- NPI 1942379284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750723200000",
"number": "1184369290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1445 SHELDON RD STE 300",
"city": "GRAND HAVEN",
"state": "MI",
"postal_code": "494172479",
"telephone_number": "616-296-1500",
"fax_number": "616-296-1502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1445 SHELDON RD STE 300",
"city": "GRAND HAVEN",
"state": "MI",
"postal_code": "494172479",
"telephone_number": "616-296-1500",
"fax_number": "616-296-1502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "KRISTINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-03",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101027549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Haven, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.