Active NPI
Kathryn McAdam
- Family Nurse Practitioner
- Lovington, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704267057
- Practice address
- 1000 East Tinkham Ave
Lovington, MI 49431 - Phone
- (989) 513-9216
- NPI assigned
- Dec 10, 2021
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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.
-
- Physical Medicine & Rehabilitation Physician
- Oak Brook, IL
- NPI 1700598059
MI, Single Specialty
-
- Rural Health Clinic/Center
- Prudenville, MI
- NPI 1144626052
Single Specialty
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220511000551 | MI | Practitioner - Nurse Practitioner | 1153708250 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munson Healthcare Grayling | Single Specialty | Current | Accepting new patients |
| Applebaum Physiatry PLLC | Single Specialty | Current | Accepting new patients |
Locations
3778 Momentum Pl
Chicago, IL 60689
128 S East St
Unit 1109
Crown Point, IN 46308
2975 N Adams Rd
Bloomfld Hls, MI 48304
Phone (248) 645-2900
2520 Lake Michigan Dr NW
Grand Rapids, MI 49504
Phone (616) 735-4541
1250 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0550
1250 E Michigan Ave
Ste C
Grayling, MI 49738
Phone (989) 348-0550
1000 E Tinkham Ave
Ludington, MI 49431
Phone (231) 845-6291
2585 W Houghton Lake Dr
Prudenville, MI 48651
Phone (989) 348-0055
1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000
Interoperability endpoints
- kmcadam@direct.mhc.net
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704267057 | MI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1000 East Tinkham Ave
Lovington, MI 49431
Mailing address
1000 East Tinkham Ave
Lovington, MI 49431
Phone (989) 513-9216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 12, 2024.
{
"created_epoch": "1639094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726099200000",
"number": "1508525296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 EAST TINKHAM AVE",
"city": "LOVINGTON",
"state": "MI",
"postal_code": "49431",
"telephone_number": "989-513-9216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 EAST TINKHAM AVE",
"city": "LOVINGTON",
"state": "MI",
"postal_code": "49431",
"telephone_number": "989-513-9216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCADAM",
"first_name": "KATHRYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-10",
"last_updated": "2024-09-12",
"certification_date": "2024-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704267057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.