Individual provider Active NPI

Krysta Ann Loveland, DPM

  • Foot & Ankle Surgery Podiatrist
  • Lansing, MI
National Provider Identifier
1346773157
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901400357 Issued in MI
Practice address
3390 E Jolly Rd
Lansing, MI 48910-8547
Phone
(517) 882-8673
Fax
(517) 882-3935
NPI assigned
Apr 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X S636478067249 MI
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 5901400357 MI Primary

Addresses

Primary practice location

3390 E Jolly Rd
Lansing, MI 48910-8547

Mailing address

3390 E Jolly Rd
Lansing, MI 48910-8547
Phone (517) 882-8673

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200429000342 MI Practitioner - Podiatry 2668746348 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foremost Podiatry PCGroup PAC ID 0648573311, 6 clinicians

Practice addresses (Care Compare)

3401 Patient Care Dr
Lansing, MI 48911-4222
Phone (517) 882-8672

Hospital & facility affiliations

  • McLaren Greater Lansing Hospital, Lansing, MI, CCN 230167

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue160
Removal of skin lesions1-10
Removal of nail tissue234
Removal or shaving of skin growth29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901400357MIMDFoot & Ankle Surgery Podiatrist
S636478067249MIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Foot and Ankle Centers, PC Single Specialty CurrentSince Jul 1, 2020 Accepting new patients
Professional Foot and Ankle Centers, PC Single Specialty CurrentSince Jul 1, 2020 Accepting new patients
Foremost Podiatry, P.C. Single Specialty CurrentSince Jul 1, 2023 Accepting new patients

Locations

605 S State Rd
Davison, MI 48423
Phone (810) 653-9060

3390 E Jolly Rd
Lansing, MI 48910
Phone (517) 393-2020

3401 Patient Care Dr
Lansing, MI 48911
Phone (517) 882-8672

1390 N Main St
Lapeer, MI 48446
Phone (810) 664-1250

Organizations & group practices 3

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.

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": "1491523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1346773157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 E JOLLY RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489108547",
            "telephone_number": "517-882-8673",
            "fax_number": "517-882-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3390 E JOLLY RD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489108547",
            "telephone_number": "517-882-8673",
            "fax_number": "517-882-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVELAND",
        "first_name": "KRYSTA",
        "middle_name": "ANN",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-07",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "S636478067249",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901400357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.