Individual provider Active NPI

Kristin Marie Worgess

  • Physician Assistant
  • Detroit, MI
National Provider Identifier
1215287776
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601006445 Issued in MI
Practice address
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone
(313) 916-2695
NPI assigned
Sep 12, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601006445 MI Primary
Medical Physician Assistant 363AM0700X 5601006445 MI
Physician Assistant 363A00000X 5612 SC

Addresses

Primary practice location

2799 W Grand Blvd
Detroit, MI 48202-2608

Mailing address

1 Ford PL Ste 3a
Detroit, MI 48202-3450
Phone (313) 874-4806

Other practice location 1

205 N East Ave
Jackson, MI 49201-1753
Phone (517) 205-4800

Other practice location 2

3413 Woods Edge Drive
Okemos, MI 48864
Phone (517) 349-3303

Other practice location 3

3500 Highway 17 Byp N
Mount Pleasant, SC 29466-9123
Phone (843) 606-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, SC, IL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20130205000501 MI Practitioner - Physician Assistant 7416101126 Reassigns benefits to 5 organizations
I20251229002110 SC Practitioner - Physician Assistant 7416101126 Reassigns benefits to 4 organizations
I20260505000257 IL Practitioner - Physician Assistant 7416101126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Roper Hospital IncGroup PAC ID 8426958919, 66 clinicians

Practice addresses (Care Compare)

100 Callen Blvd
Summerville, SC 29486-2807
Phone (854) 529-3100

316 Calhoun St
Charleston, SC 29401-1113
Phone (843) 724-2837

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5612SCMDPharmacist
5601006445MIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Roper St Francis Hospital-Berkeley Inc. CurrentSince Jan 7, 2026 Accepting new patients
Roper Hospital, Inc. CurrentSince Jan 7, 2026 Accepting new patients
Roper St. Francis Mount Pleasant Hospital CurrentSince Jan 7, 2026 Accepting new patients
Promed Healthcare CurrentSince Aug 31, 2015 Accepting new patients
Roper Hospital Inc. CurrentSince Jan 7, 2026 Accepting new patients
Edward W. Sparrow Hospital Association Physician Assistant CurrentSince Mar 1, 2016 Accepting new patients
W.a. Foote Memorial Hospital, Inc Physician Assistant CurrentSince May 16, 2025 Accepting new patients
Capital Cardiology PC CurrentSince Apr 30, 2017 Accepting new patients
W.a. Foote Memorial Hospital, Inc Physician Assistant CurrentSince May 16, 2025 Accepting new patients
Bon Secours St Francis Xavier Hospital, Inc. CurrentSince Jan 7, 2026 Accepting new patients
Ascension Medical Group Promed CurrentSince Aug 31, 2015 Accepting new patients
Bon Secours St. Francis Xavier Hospital, Inc. CurrentSince Jan 7, 2026 Accepting new patients
Roper St Francis Hospital-Berkeley Inc. CurrentSince Jan 7, 2026 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Mar 1, 2016 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Apr 6, 2021 Accepting new patients
Wa Foote Memorial Hospital, Inc Physician Assistant Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

1200 E Michigan Ave
Ste 725
Lansing, MI 48912
Phone (517) 364-5599

1215 E Michigan Ave
#C
Lansing, MI 48912
Phone (517) 364-2050

1200 E Michigan Ave
Ste 775
Lansing, MI 48912
Phone (517) 364-5160

1140 E Michigan Ave
Ste 300
Lansing, MI 48912
Phone (517) 364-5200

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

7845 Spring Arbor Rd
Spring Arbor, MI 49283
Phone (517) 205-2580

2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037

316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000

3500 N Highway 17
Mt Pleasant, SC 29466
Phone (843) 606-7000

100 Callen Blvd
Summerville, SC 29486
Phone (845) 529-3165

416 Robertson Blvd
Ste B
Walterboro, SC 29488
Phone (843) 549-2411

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 2

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": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1215287776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORD PL STE 3A",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023450",
            "telephone_number": "313-874-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482022608",
            "telephone_number": "313-916-2695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 N East Ave",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MI",
            "postal_code": "492011753",
            "country_code": "US",
            "telephone_number": "517-205-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3413 Woods Edge Drive",
            "address_purpose": "LOCATION",
            "city": "Okemos",
            "state": "MI",
            "postal_code": "48864",
            "country_code": "US",
            "telephone_number": "517-349-3303",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3500 Highway 17 Byp N",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "SC",
            "postal_code": "294669123",
            "country_code": "US",
            "telephone_number": "843-606-7000",
            "fax_number": "843-606-7923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WORGESS",
        "first_name": "KRISTIN",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006445",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601006445",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "5612",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.