Individual provider Active NPI

Katherine Popma

  • Family Nurse Practitioner
  • Wyoming, MI
National Provider Identifier
1205508538
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704278467 Issued in MI
Practice address
2221 Health Dr SW Ste 1400
Wyoming, MI 49519-9681
Phone
(616) 794-6301
NPI assigned
Oct 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704278467 MI Primary

Addresses

Primary practice location

2221 Health Dr SW Ste 1400
Wyoming, MI 49519-9681

Mailing address

2221 Health Dr SW Ste 1400
Wyoming, MI 49519-9681

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
I20211018002152 MI Practitioner - Nurse Practitioner 2769880038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orandi Allergy and Asthma Center PLLCGroup PAC ID 4082978549, 2 clinicians

Practice addresses (Care Compare)

2221 Health Dr SW
Suite 1400
Wyoming, MI 49519-9681
Phone (616) 794-6301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Orandi Allergy and Asthma Center PLLC CurrentSince Oct 1, 2021 Accepting new patients

Locations

2221 Health Dr SW
Ste 1400
Wyoming, MI 49519
Phone (616) 794-6301

Organizations & group practices 1

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": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1205508538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 HEALTH DR SW STE 1400",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 HEALTH DR SW STE 1400",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199681",
            "telephone_number": "616-794-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPMA",
        "first_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704278467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MI

Sources for this page

Verify at the official NPI Registry.