Individual provider Active NPI

Jennifer Marie Kuiper, MD

  • Pediatrics Physician
  • Frankfort, MI
National Provider Identifier
1386823771
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301082282 Issued in MI
Practice address
224 Park Ave
Frankfort, MI 49635-9658
Phone
(231) 352-2990
Fax
(231) 352-2342
NPI assigned
Nov 1, 2007
Last updated
Dec 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301082282 MI Primary

Addresses

Primary practice location

224 Park Ave
Frankfort, MI 49635-9658

Mailing address

224 Park Ave
Frankfort, MI 49635-9658
Phone (231) 352-2990

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jennifer.kuiper@poeg.eclinicaldirectplus.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130212000537 MI Practitioner - Pediatric Medicine 2961656350 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Paul Oliver Memorial Hospital CurrentSince Apr 1, 2020 Accepting new patients
Paul Oliver Memorial Hospital Current Accepting new patients
Paul Oliver Memorial Hospital CurrentSince Apr 1, 2020 Accepting new patients
Newaygo County General Hospital Association Past Accepting new patients
Paul Oliver Memorial Hospital Past Accepting new patients
Newaygo County General Hospital Association Past Accepting new patients

Locations

6227 Frankfort Hwy
Benzonia, MI 49616
Phone (231) 882-9661

224 Park Ave
Frankfort, MI 49635
Phone (231) 352-2200

1975 Stirling Dr
Interlochen, MI 49643
Phone (231) 275-0166

Interoperability endpoints

  • Direct secure messaging: jkuiper@direct.mhc.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.

NPI Registry JSON

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1386823771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 PARK AVE",
            "city": "FRANKFORT",
            "state": "MI",
            "postal_code": "496359658",
            "telephone_number": "231-352-2990",
            "fax_number": "231-352-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 PARK AVE",
            "city": "FRANKFORT",
            "state": "MI",
            "postal_code": "496359658",
            "telephone_number": "231-352-2990",
            "fax_number": "231-352-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUIPER",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-01",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301082282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.kuiper@poeg.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "224 Park Ave",
            "city": "Frankfort",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496359658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Frankfort, MI

Sources for this page

Verify at the official NPI Registry.