Active NPI
Tobin J Klint, NP
- Nurse Practitioner
- Stevensville, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704286176
- Practice address
- 5515 Cleveland Ave Ste 5
Stevensville, MI 49127-9670 - Phone
- (269) 429-9677
- NPI assigned
- Jun 19, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704286176 | MI | Primary |
Addresses
Primary practice location
5515 Cleveland Ave Ste 5
Stevensville, MI 49127-9670
Mailing address
5515 Cleveland Ave Ste 5
Stevensville, MI 49127-9670
Other practice location 1
9625 Red Arrow Hwy
Bridgman, MI 49106-9559
Phone (269) 465-6050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407260201 | Medicaid | MI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5515 Cleveland Ave
Suite 5
Stevensville, MI 49127-9670
Phone (269) 429-9644
Hospital & facility affiliations
- Lakeland Hospital, St Joseph
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeland Medical Practices | Current | Accepting new patients | |
| Lakeland Community Hospital Watervliet | Current | Accepting new patients | |
| Lakeland Community Hospital Watervliet | Current | Accepting new patients | |
| Lakeland Community Hospital Watervliet | Current | Accepting new patients | |
| Lakeland Medical Practices | Current | Accepting new patients | |
| Lakeland Community Hospital Watervliet | Current | Accepting new patients | |
| Lakeland Community Hospital Watervliet | Past | Accepting new patients |
Locations
9625 Red Arrow Hwy
Bridgman, MI 49106
Phone (269) 465-6050
2002 S 11th St
Niles, MI 49120
Phone (269) 687-0200
3950 Hollywood Rd
Ste 280
Saint Joseph, MI 49085
Phone (269) 408-0990
1234 Napier Ave
Saint Joseph, MI 49085
Phone (269) 982-4941
5515 Cleveland Ave
Ste 5
Stevensville, MI 49127
Phone (269) 429-9644
460 Medical Park Dr
Ste 200
Watervliet, MI 49098
400 Medical Park Dr
Watervliet, MI 49098
Phone (269) 463-3111
Interoperability endpoints
- tklint7166@lakeland.midirect.net
- https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/
- tklint1270328@epic00.corewelldirect.org
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Saint Joseph, MI
- NPI 1538397120
-
- Rural Health Clinic/Center
- Hartford, MI
- NPI 1023114741
-
- Rural Health Clinic/Center
- Niles, MI
- NPI 1538592753
-
- Rural Health Clinic/Center
- Dowagiac, MI
- NPI 1184467607
-
- Rural Health Clinic/Center
- Watervliet, MI
- NPI 1508924770
-
- Internal Medicine Physician
- Bridgman, MI
- NPI 1568232247
-
- Rural Health Clinic/Center
- Coloma, MI
- NPI 1083710701
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696550400000",
"number": "1407260201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5515 CLEVELAND AVE STE 5",
"city": "STEVENSVILLE",
"state": "MI",
"postal_code": "491279670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5515 CLEVELAND AVE STE 5",
"city": "STEVENSVILLE",
"state": "MI",
"postal_code": "491279670",
"telephone_number": "269-429-9677"
}
],
"practiceLocations": [
{
"address_1": "9625 Red Arrow Hwy",
"address_purpose": "LOCATION",
"city": "Bridgman",
"state": "MI",
"postal_code": "491069559",
"country_code": "US",
"telephone_number": "269-465-6050",
"fax_number": "269-465-3134",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KLINT",
"first_name": "TOBIN",
"middle_name": "J",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-19",
"last_updated": "2023-10-06",
"certification_date": "2023-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704286176",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1407260201",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stevensville, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.