Active NPI
Christine Lynn Romack, FNP-C
- Family Nurse Practitioner
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704320911
- Practice address
- 601 John St Ste M-170
Kalamazoo, MI 49007-5366 - Phone
- (269) 381-5060
- NPI assigned
- Aug 30, 2018
- Last updated
- Mar 25, 2022
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 28161934A | IN | |
| Family Nurse Practitioner | 363LF0000X | 4704320911 | MI | Primary |
Addresses
Primary practice location
601 John St Ste M-170
Kalamazoo, MI 49007-5366
Mailing address
601 John Street
Box 39
Kalamazoo, MI 49007
Other practice location 1
621 Memorial Dr Ste 402
South Bend, IN 46601-1074
Phone (888) 580-1060
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.bronsonhg.org | Direct | Bronson Healthcare Group |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
601 John St
Suite 39
Kalamazoo, MI 49007-5340
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronson Methodist Hospital | Current | Accepting new patients | |
| Healthlinc, Inc. | Current | Accepting new patients | |
| Healthlinc, Inc | Current | Accepting new patients | |
| Healthlinc, Inc | Current | Accepting new patients |
Locations
621 Memorial Dr
Ste 402
South Bend, IN 46601
Phone (574) 232-4800
1001 Sturdy Rd
Valparaiso, IN 46383
Phone (219) 462-7173
2401 Valley Dr
Valparaiso, IN 46383
Phone (219) 413-5100
601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100
601 John St
#39
Kalamazoo, MI 49007
601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500
601 John St
Ste M-170
Kalamazoo, MI 49007
Phone (269) 343-3939
Interoperability endpoints
- direct@direct.bronsonhg.org
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Valparaiso, IN
- NPI 1528262581
-
dba Bronson Medical Group
- Hospitalist Physician
- Kalamazoo, MI
- NPI 1417961137
-
dba HealthLinc - Newton
- Federally Qualified Health Center (FQHC)
- Morocco, IN
- NPI 1568354116
-
- Federally Qualified Health Center (FQHC)
- South Bend, IN
- NPI 1972071769
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Battle Creek, MI
- NPI 1083644579
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1831116441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648166400000",
"number": "1538641105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 JOHN STREET",
"address_2": "BOX 39",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "49007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 JOHN ST STE M-170",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490075366",
"telephone_number": "269-381-5060"
}
],
"practiceLocations": [
{
"address_1": "621 Memorial Dr Ste 402",
"address_purpose": "LOCATION",
"city": "South Bend",
"state": "IN",
"postal_code": "466011074",
"country_code": "US",
"telephone_number": "888-580-1060",
"fax_number": "765-472-5468",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROMACK",
"first_name": "CHRISTINE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-30",
"last_updated": "2022-03-25",
"certification_date": "2022-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "28161934A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704320911",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "direct@direct.bronsonhg.org",
"affiliation": "Y",
"endpointDescription": "Bronson Healthcare Group Direct address",
"affiliationName": "Bronson Healthcare Group",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Continuity of Care Document",
"address_1": "601 John St",
"city": "Kalamazoo",
"state": "MI",
"country_code": "US",
"postal_code": "490075341",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.