Individual provider Active NPI

Kristina Marie Yaklin, NP

  • Family Nurse Practitioner
  • Owosso, MI
National Provider Identifier
1285075085
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704266170 Issued in MI
Practice address
826 W King St
Owosso, MI 48867-2120
Phone
(989) 729-4977
Fax
(989) 729-4062
NPI assigned
Jul 10, 2013
Last updated
Feb 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704266170 MI
Family Nurse Practitioner 363LF0000X 4704266170 MI Primary

Addresses

Primary practice location

826 W King St
Owosso, MI 48867-2120

Mailing address

826 W King St
Owosso, MI 48867-2120
Phone (989) 729-4977

Other practice location 1

802 W King St Ste M
Owosso, MI 48867-2100
Phone (989) 729-4100

Other practice location 2

9099 E Lansing Rd Ste B
Durand, MI 48429-1083
Phone (989) 288-0400

Other practice location 3

239 N State Rd Ste 102
Owosso, MI 48867-9075
Phone (989) 720-5400

Other identifiers 1

IdentifierTypeStateIssuer
1285075085MedicaidMI

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
I20131011001451 MI Practitioner - Nurse Practitioner 9830323526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Michigan Medical School, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial HospitalGroup PAC ID 8527976497, 210 clinicians

Practice addresses (Care Compare)

826 W King St
Owosso, MI 48867-2120

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.58 of 100Reported as group
Quality
58.15
Promoting interoperability
100
Improvement activities
40
Cost
74.45

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704266170MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Nurse Practitioner Current Accepting new patients
Memorial Hospital Family CurrentSince Aug 1, 2016 Accepting new patients
Memorial Hospital CurrentSince Aug 1, 2016 Accepting new patients
Memorial Hospital Nurse Practitioner Past Accepting new patients
Memorial Hospital Nurse Practitioner Past Accepting new patients
Memorial Hospital Nurse Practitioner Past Accepting new patients

Locations

9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273

9099 E Lansing Rd
Ste B
Durand, MI 48429
Phone (989) 288-0400

218 W Main St
Ste 100
Flushing, MI 48433
Phone (989) 723-5211

1002 E M 21
Ste 100
Owosso, MI 48867
Phone (989) 720-5400

1457 N M 52
Ste 2
Owosso, MI 48867
Phone (989) 723-5136

1975 W M 21
Ste 103
Owosso, MI 48867

239 N State Rd
Ste 102
Owosso, MI 48867
Phone (989) 720-5400

802 W King St
Ste C
Owosso, MI 48867
Phone (989) 729-4131

802 W King St
Ste M
Owosso, MI 48867
Phone (989) 725-9846

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

Interoperability endpoints

  • Direct secure messaging: kristinayaklin@memh.allscriptsdirect.net

Organizations & group practices 6

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 1

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": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1285075085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 W KING ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672120",
            "telephone_number": "989-729-4977",
            "fax_number": "989-729-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 W KING ST",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488672120",
            "telephone_number": "989-729-4977",
            "fax_number": "989-729-4062"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "802 W King St Ste M",
            "address_purpose": "LOCATION",
            "city": "Owosso",
            "state": "MI",
            "postal_code": "488672100",
            "country_code": "US",
            "telephone_number": "989-729-4100",
            "fax_number": "989-729-4066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9099 E Lansing Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Durand",
            "state": "MI",
            "postal_code": "484291083",
            "country_code": "US",
            "telephone_number": "989-288-0400",
            "fax_number": "989-288-7862",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "239 N State Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Owosso",
            "state": "MI",
            "postal_code": "488679075",
            "country_code": "US",
            "telephone_number": "989-720-5400",
            "fax_number": "989-725-7802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAKLIN",
        "first_name": "KRISTINA",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-10",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704266170",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704266170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285075085",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owosso, MI

Sources for this page

Verify at the official NPI Registry.