Individual provider Active NPI

Wendy Ann Hunting, AGNP-C

  • Gerontology Nurse Practitioner
  • Grand Rapids, MI
National Provider Identifier
1205486156
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
4704259094 Issued in MI
Practice address
145 Michigan St NE Ste 5200
Grand Rapids, MI 49503-2565
Phone
(616) 486-6700
NPI assigned
Sep 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 4704259094 MI Primary

Addresses

Primary practice location

145 Michigan St NE Ste 5200
Grand Rapids, MI 49503-2565

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address whunting105625@epic00.shdirect.org
FHIR URL https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190928000144 MI Practitioner - Nurse Practitioner 2264762590 Reassigns benefits to 6 organizations
I20210920002919 IA Practitioner - Nurse Practitioner 2264762590

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

100 Michigan Ave NE
Grand Rapids, MI 49503-2560

100 Michigan St NE RM
280 Corewell Health Medical Group West
Grand Rapids, MI 49503-2560
Phone (616) 267-0115

145 Michigan St NE
5500 Corewell Health Medical Group West
Grand Rapids, MI 49503-2565
Phone (616) 267-8540

4069 Lake Dr SE
Grand Rapids, MI 49546-8816

4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600

5 Atkinson Dr
302 Corewell Health Medical Group West
Ludington, MI 49431-1906
Phone (616) 267-8700

615 S Bower St
Greenville, MI 48838-2614
Phone (616) 225-6522

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pennock Hospital CurrentSince May 16, 2022 Accepting new patients
Memorial Medical Center of West Michigan CurrentSince May 16, 2022 Accepting new patients
Spectrum Health United CurrentSince May 16, 2022 Accepting new patients
Spectrum Health United CurrentSince May 16, 2022 Accepting new patients
Newaygo County General Hospital Association CurrentSince May 16, 2022 Accepting new patients
Reed City Hospital Corporation CurrentSince May 16, 2022 Accepting new patients
Newaygo County General Hospital Association CurrentSince May 16, 2022 Accepting new patients
Pennock Hospital Nurse Practitioner CurrentSince May 16, 2022 Accepting new patients
Memorial Medical Center of West Michigan CurrentSince May 16, 2022 Accepting new patients
Reed City Hospital Corporation CurrentSince May 16, 2022 Accepting new patients

Locations

1227 W State St
Belding, MI 48809
Phone (616) 794-0800

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

145 Michigan St NE
Ste 6300
Grand Rapids, MI 49503
Phone (616) 486-6000

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

145 Michigan St NE
Ste 5200
Grand Rapids, MI 49503
Phone (616) 486-5933

1005 W Green St
Ste 300
Hastings, MI 49058
Phone (269) 948-8411

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

300 N Patterson Rd
Reed City, MI 49677
Phone (231) 832-3271

Interoperability endpoints

  • Direct secure messaging: whunting105625@epic00.corewelldirect.org

Organizations & group practices 11

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.

Hospital & facility affiliations 5

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": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1205486156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 MICHIGAN ST NE STE 5200",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032565",
            "telephone_number": "616-486-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTING",
        "first_name": "WENDY",
        "middle_name": "ANN",
        "credential": "AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704259094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "whunting105625@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "145 Michigan St NE Ste 5200",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495032565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "145 Michigan St NE Ste 5200",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495032565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.