Active NPI
Kristen R Price, DO
- Emergency Medicine Physician
- Muskegon, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 5101024525
- Practice address
- 1700 Clinton St
Muskegon, MI 49442-5502 - Phone
- (231) 728-4936
- NPI assigned
- Jun 30, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 5101024525 | MI | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 5101023640 | MI |
Addresses
Primary practice location
1700 Clinton St
Muskegon, MI 49442-5502
Mailing address
1675 Leahy St Ste 315a
Muskegon, MI 49442-5543
Phone (231) 727-5244
Other names 1
- Kristen R Campbell
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Michigan State University College of Osteopathic Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Jefferson Ave SE
Mercy Health St. Mary'S
Grand Rapids, MI 49503-4502
Phone (616) 685-5000
72 S State St
Lakeshore Campus
Shelby, MI 49455-1228
Phone (231) 728-4601
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101023640 | MI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand River Emergency Medical Group PLC | Emergency Medicine | Current | Accepting new patients |
| Lake Michigan Emergency Specialists, PLLC | Emergency Medicine | Current | Accepting new patients |
| Mercy Health Partners | Past | Accepting new patients |
Locations
200 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 685-5000
1700 Clinton St
Muskegon, MI 49442
Phone (231) 726-3511
72 S State St
Shelby, MI 49455
Phone (231) 728-4601
Interoperability endpoints
- kprice42797@direct.trinity-health.org
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.
-
- Emergency Medicine Physician
- Grand Rapids, MI
- NPI 1114929353
-
- Emergency Medicine Physician
- Muskegon, MI
- NPI 1124574520
-
- Certified Registered Nurse Anesthetist
- Shelby, MI
- NPI 1154910172
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1639111057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629763200000",
"number": "1477074342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1675 LEAHY ST STE 315A",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494425543",
"telephone_number": "231-727-5244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 CLINTON ST",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494425502",
"telephone_number": "231-728-4936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "KRISTEN",
"middle_name": "R",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-30",
"last_updated": "2021-08-24",
"certification_date": "2021-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "5101024525",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "5101023640",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "CAMPBELL",
"middle_name": "R",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.