Individual provider Active NPI

Alysia R Hogan Kinning, MD

  • Family Medicine Physician
  • Norton Shores, MI
National Provider Identifier
1285013482
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301107268 Issued in MI
Practice address
3570 Henry St Ste 120
Norton Shores, MI 49441-4576
Phone
(231) 672-7000
Fax
(231) 728-5041
NPI assigned
May 21, 2015
Last updated
Jan 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301107268 MI Primary

Addresses

Primary practice location

3570 Henry St Ste 120
Norton Shores, MI 49441-4576

Mailing address

3570 Henry St Ste 120
Norton Shores, MI 49441-4576
Phone (231) 672-7000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180426000490 MI Practitioner - Family Practice 2567776610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Physician NetworkGroup PAC ID 8921996307, 109 clinicians

Practice addresses (Care Compare)

3570 Henry St
Suite 120
Norton Shores, MI 49441-4576
Phone (231) 672-7000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301107268MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Physician Network Family Medicine CurrentSince Aug 1, 2022 Accepting new patients
Mercy Physician Network Family Medicine CurrentSince Aug 1, 2022 Accepting new patients

Locations

2006 Holton Rd
North Muskegon, MI 49445
Phone (231) 672-3333

3570 Henry St
Ste 120
Norton Shores, MI 49441
Phone (231) 672-7000

3570 Henry St
Ste 220
Norton Shores, MI 49441
Phone (231) 672-3155

Interoperability endpoints

  • Direct secure messaging: ahogankinning2047222@direct.trinity-health.org
  • FHIR API: https://api.platform.athenahealth.com/13864/brand/1/csg/1/fhir/r4

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.

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": "1432166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1285013482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3570 HENRY ST STE 120",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494414576",
            "telephone_number": "231-672-7000",
            "fax_number": "231-728-5041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 HENRY ST STE 120",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494414576",
            "telephone_number": "231-672-7000",
            "fax_number": "231-728-5041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN KINNING",
        "first_name": "ALYSIA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-21",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301107268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton Shores, MI

Sources for this page

Verify at the official NPI Registry.