NPIMap

Individual provider Active NPI

Kimberly Ritchie, CNP

  • Family Nurse Practitioner
  • Harrisville, MI
National Provider Identifier
1356765945
Registry record updated Feb 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704188133 Issued in MI
Practice address
177 N Barlow Rd
Harrisville, MI 48740
Phone
(989) 736-8157
Fax
(989) 358-3762
NPI assigned
Feb 18, 2014
Last updated
Feb 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2021

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 4704188133 MI Primary

Addresses

Primary practice location

177 N Barlow Rd
Harrisville, MI 48740

Mailing address

1035 W Washington Ave
Alpena, MI 49707-2929
Phone (989) 736-9815

Other identifiers 4

IdentifierTypeStateIssuer
0873010OtherMIBCBSM
1356765945MedicaidMI
123065OtherMIMERIDIAN
5729478OtherCIGNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kimberly.ritchie.p1@direct.alcona.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140402001847 MI Practitioner - Nurse Practitioner 5092946137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alcona Citizens for Health IncGroup PAC ID 5991691958, 65 clinicians

Practice addresses (Care Compare)

177 N Barlow Rd
Harrisville, MI 48740-9607
Phone (989) 736-8157

181 N Barlow Rd
Ahc Tiger Health Extension
Harrisville, MI 48740-9607
Phone (989) 736-8716

205 N State St
Alcona Health Centers Harrisville
Harrisville, MI 48740-9255
Phone (989) 724-5655

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alcona Citizens for Health Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kimberly.ritchie.p1@direct.alcona.nextgenshare.com

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 10

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": "1392681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612310400000",
    "number": "1356765945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 W WASHINGTON AVE",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497072929",
            "telephone_number": "989-736-9815",
            "fax_number": "989-358-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 N BARLOW RD",
            "city": "HARRISVILLE",
            "state": "MI",
            "postal_code": "48740",
            "telephone_number": "989-736-8157",
            "fax_number": "989-358-3762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITCHIE",
        "first_name": "KIMBERLY",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-18",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704188133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "0873010",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356765945",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERIDIAN",
            "identifier": "123065",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5729478",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimberly.ritchie.p1@direct.alcona.nextgenshare.com",
            "affiliation": "N",
            "address_1": "177 N Barlow Rd",
            "city": "Harrisville",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisville, MI

Sources for this page

Verify at the official NPI Registry.