Individual provider Active NPI

Kristen N Vanhouten

  • Nurse Practitioner
  • Muskegon, MI
National Provider Identifier
1386024701
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704284698 Issued in MI
Practice address
1223 Mercy Dr
Muskegon, MI 49444-1829
Phone
(231) 672-3500
Fax
(231) 672-6199
NPI assigned
Jun 1, 2015
Last updated
Nov 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704284698 MI Primary

Addresses

Primary practice location

1223 Mercy Dr
Muskegon, MI 49444-1829

Mailing address

PO Box 776982
Chicago, IL 60677-6982
Phone (800) 494-5797

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
I20150819007191 MI Practitioner - Nurse Practitioner 0042525156 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Michigan State University College of Human Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Westshore Cardiology ServicesGroup PAC ID 5991932360, 36 clinicians
LTC Physician Care PCGroup PAC ID 8224496575, 17 clinicians

Practice addresses (Care Compare)

1212 E Sherman Blvd
Muskegon, MI 49444-1879
Phone (231) 672-3500

400 Jeffery St
Cedar Springs, MI 49319-9572
Phone (248) 621-0370

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Partners Sub-Specialty Services Nurse Practitioner CurrentSince Jan 10, 2022 Accepting new patients
Mercy Health Westshore Cardiology Services CurrentSince Feb 5, 2018 Accepting new patients
LTC Physician Care PC CurrentSince Jun 28, 2024 Accepting new patients

Locations

18200 W 13 Mile Rd
Beverly Hills, MI 48025
Phone (248) 647-6500

400 Jeffrey St
Cedar Springs, MI 49319
Phone (616) 696-0170

1445 Sheldon Rd
Ste 102
Grand Haven, MI 49417
Phone (616) 604-8363

1212 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-3500

1223 Mercy Dr
Muskegon, MI 49444
Phone (231) 672-3177

1277 Mercy Dr
Slp Ctr
Muskegon, MI 49444
Phone (231) 672-6186

1560 E Sherman Blvd
Ste 250
Muskegon, MI 49444
Phone (231) 672-8145

2525 Roberts St
Muskegon, MI 49444
Phone (231) 672-3500

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

2060 Health Dr SW
Wyoming, MI 49519
Phone (616) 333-1200

Interoperability endpoints

  • Direct secure messaging: kvanhouten22119@direct.trinity-health.org

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1386024701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776982",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776982",
            "telephone_number": "800-494-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 MERCY DR",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441829",
            "telephone_number": "231-672-3500",
            "fax_number": "231-672-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANHOUTEN",
        "first_name": "KRISTEN",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-01",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704284698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.