Kristi Nicole Dzingle, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601006577 Issued in MI

Practice address

743 E Beltline Ave NE
Grand Rapids, MI 49525-6045

Phone

(616) 320-0096

Fax

(616) 320-0097

NPI assigned

Jan 9, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kristi Nicole Lentz Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kdzingle44489@direct.trinity-health.org
• Direct secure messaging: kristi.dzingle@799501387825156.direct.elationemr.com

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.

• Advantage Health/Saint Mary'S Medical Group

  • Multi-Specialty Clinic/Center
  • Grand Rapids, MI
  • NPI 1376862151
  Medicare reassignment
• Mercy Physician Network

  • Family Medicine Physician
  • Muskegon, MI
  • NPI 1023056744
  Medicare reassignment
• Advantage Health Saint Mary'S Medical Group

  • Orthopaedic Surgery Physician
  • Byron Center, MI
  • NPI 1003515008

  Physician Assistant

  NPD
• Mercy Physician Network

  • Family Medicine Physician
  • Fruitport, MI
  • NPI 1639502701

  Physician Assistant

  NPD
• Advantage Health Saint Mary'S Medical Group

  • Multi-Specialty Clinic/Center
  • Grand Rapids, MI
  • NPI 1952340911
  NPD (past)
• Dr Fred PLLC

  • Family Medicine Physician
  • Grand Rapids, MI
  • NPI 1700625761
  NPD (past)
• Saint Mary'S Health Services

  • General Acute Care Hospital
  • Grand Rapids, MI
  • NPI 1639111057
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1255678306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 E BELTLINE AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495256045",
            "telephone_number": "616-320-0096",
            "fax_number": "616-320-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 E BELTLINE AVE NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495256045",
            "telephone_number": "616-320-0096",
            "fax_number": "616-320-0097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1919 Boston St SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495064185",
            "country_code": "US",
            "telephone_number": "616-320-0096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 36th St SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495122810",
            "country_code": "US",
            "telephone_number": "616-320-0096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4085 Burton St SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495462444",
            "country_code": "US",
            "telephone_number": "616-320-0096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5565 Broadmoor Ave SE",
            "address_purpose": "LOCATION",
            "city": "Kentwood",
            "state": "MI",
            "postal_code": "495125302",
            "country_code": "US",
            "telephone_number": "616-952-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Raybrook St SE Ste 100B",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495465782",
            "country_code": "US",
            "telephone_number": "616-320-0096",
            "fax_number": "616-320-0097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DZINGLE",
        "first_name": "KRISTI",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-09",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTI",
            "last_name": "LENTZ",
            "middle_name": "NICOLE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dynamite Hearing Consultants, LLC
• Rachel Dziabuda
• Kristin Dzik
• Amy L Dzikowicz, NP
• Jared Dzingle, PHARM.D.
• Jonathan Joseph Dziwanowski
• Eva Dzomba
• Jonathan Eagle, D.D.S
• Christine Eardley, PT
• Kari Earl

• Physician Assistant in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.