Individual provider Active NPI

Christina Knoop, NP

  • Family Nurse Practitioner
  • Portland, MI
National Provider Identifier
1346734910
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704270476 Issued in MI
Practice address
1850 Hyland Dr
Portland, MI 48875-8508
Phone
(517) 647-6722
NPI assigned
Jun 18, 2018
Last updated
Oct 23, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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 4704270476 MI Primary

Addresses

Primary practice location

1850 Hyland Dr
Portland, MI 48875-8508

Mailing address

221 W Lake Lansing Rd Ste 300
East Lansing, MI 48823-8661
Phone (517) 253-8944

Other identifiers 1

IdentifierTypeStateIssuer
4704270476OtherMILARA - STATE OF MICHIGAN

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
I20191220000307 MI Practitioner - Nurse Practitioner 3476987736 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sparrow Ionia HospitalGroup PAC ID 0042118887, 42 clinicians

Practice addresses (Care Compare)

550 E Washington St
Ionia, MI 48846-2202

550 E Washington St FL
1 Sparrow Medical Group Gastroenterology Io
Ionia, MI 48846-2202
Phone (517) 253-6320

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Ionia Hospital CurrentSince Apr 1, 2020 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Oct 19, 2019 Accepting new patients
Sparrow Ionia Hospital CurrentSince Apr 1, 2020 Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Oct 19, 2019 Accepting new patients
Sparrow Ionia Hospital Current Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600

800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900

1850 Hyland Dr
Portland, MI 48875
Phone (517) 253-5084

Interoperability endpoints

  • Direct secure messaging: cknoop8684@sparrowdirecthie.org

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 3

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": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1346734910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W LAKE LANSING RD STE 300",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488238661",
            "telephone_number": "517-253-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 HYLAND DR",
            "city": "PORTLAND",
            "state": "MI",
            "postal_code": "488758508",
            "telephone_number": "517-647-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOOP",
        "first_name": "CHRISTINA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704270476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LARA - STATE OF MICHIGAN",
            "identifier": "4704270476",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, MI

Sources for this page

Verify at the official NPI Registry.