Individual provider Active NPI

Kathryn McAdam

  • Family Nurse Practitioner
  • Lovington, MI
National Provider Identifier
1508525296
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704267057 Issued in MI
Practice address
1000 East Tinkham Ave
Lovington, MI 49431
Phone
(989) 513-9216
NPI assigned
Dec 10, 2021
Last updated
Sep 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 4704267057 MI Primary

Addresses

Primary practice location

1000 East Tinkham Ave
Lovington, MI 49431

Mailing address

1000 East Tinkham Ave
Lovington, MI 49431
Phone (989) 513-9216

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220511000551 MI Practitioner - Nurse Practitioner 1153708250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Healthcare Grayling Single Specialty Current Accepting new patients
Applebaum Physiatry PLLC Single Specialty CurrentSince Aug 1, 2024 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

  • Direct secure messaging: kmcadam@direct.mhc.net

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, 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": "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

Verify at the official NPI Registry.