Individual provider Active NPI

Kristine Knop Spence, DO

  • Obstetrics & Gynecology Physician
  • Saginaw, MI
National Provider Identifier
1497733190
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5101013032 Issued in MI
Practice address
926 N Michigan Ave
Saginaw, MI 48602-4323
Phone
(989) 753-8453
Fax
(989) 755-9983
NPI assigned
Jan 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5101013032 MI Primary

Addresses

Primary practice location

926 N Michigan Ave
Saginaw, MI 48602-4323

Mailing address

926 N Michigan Ave
Saginaw, MI 48602-4323
Phone (989) 753-8453

Other identifiers 2

IdentifierTypeStateIssuer
P114557OtherBLUE CARE NETWORK ID#
113388500MedicaidMI

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
I20040216000014 MI Practitioner - Obstetrics/GynecologyPractitioner - Osteopathic Manipulative MedicinePractitioner - Family Practice 9830083310 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/GynecologyAlso: Family Practice, Osteopathic Manipulative Medicine
Education
Michigan State University College of Osteopathic Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley OB GYN Clinic PCGroup PAC ID 6002803871, 10 clinicians

Practice addresses (Care Compare)

926 N Michicgan Ave
Saginaw, MI 48602-4323
Phone (517) 753-8453

Hospital & facility affiliations

  • Covenant Medical Center Hospital, Saginaw, MI, CCN 230070

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101013032MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley OB GYN Clinic PC Obstetrics & Gynecology CurrentSince Sep 20, 2024 Accepting new patients
Womens OB GYN PC Obstetrics & Gynecology CurrentSince Aug 5, 2002 Accepting new patients
Covenant Medical Center, Inc. Past Accepting new patients
Great Lakes Bay Health Centers Obstetrics & Gynecology Past Accepting new patients
Great Lakes Bay Health Centers Past Accepting new patients
Guy M Boike, MD PC PastSince Apr 1, 2003 Accepting new patients

Locations

975 N Main St
Ste L
Frankenmuth, MI 48734
Phone (989) 753-8453

117 S Main St
Ste A
Freeland, MI 48623
Phone (989) 753-8453

5400 Mackinaw Rd
Ste 6100
Saginaw, MI 48604
Phone (989) 792-3100

926 N Michigan Ave
Saginaw, MI 48602
Phone (517) 753-8453

3037 Silverwood Dr
Saginaw, MI 48603
Phone (517) 799-5600

Interoperability endpoints

  • Direct secure messaging: kristine.spence.1@20451.direct.athenahealth.com
  • Direct secure messaging: kristinespence@wobgyn.allscriptsdirect.net
  • FHIR API: https://api.platform.athenahealth.com/20451/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1497733190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 N MICHIGAN AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024323",
            "telephone_number": "989-753-8453",
            "fax_number": "989-755-9983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 N MICHIGAN AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486024323",
            "telephone_number": "989-753-8453",
            "fax_number": "989-755-9983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCE",
        "first_name": "KRISTINE",
        "middle_name": "KNOP",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101013032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK ID#",
            "identifier": "P114557",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113388500",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.