Individual provider Active NPI

Melissa A Duimstra, DO

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Muskegon, MI
National Provider Identifier
1578054680
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
5101025150 Issued in MI
Practice address
2065 E Mt Garfield Rd
Muskegon, MI 49444-9733
Phone
(231) 728-3442
NPI assigned
May 24, 2018
Last updated
Oct 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101025150 MI
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 5101025150 MI Primary

Addresses

Primary practice location

2065 E Mt Garfield Rd
Muskegon, MI 49444-9733

Mailing address

1050 W Western Ave Ste 400
Muskegon, MI 49441-1666
Phone (231) 728-3442

Other practice location 1

1050 W Western Ave Ste 400
Muskegon, MI 49441-1666
Phone (231) 728-3442

Other practice location 2

6425 Harvey St
Norton Shores, MI 49444-9739
Phone (231) 722-0382

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
I20210127000872 MI Practitioner - Family Practice 3870907223 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospice of Muskegon County IncGroup PAC ID 1850202813, 3 clinicians

Practice addresses (Care Compare)

6425 Harvey St
Norton Shores, MI 49444-9739
Phone (231) 728-3442

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101025150MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Faith Palliative Care CurrentSince Jul 1, 2023 Accepting new patients
Hospice of Muskegon County, Inc. Family Medicine CurrentSince Oct 31, 2025 Accepting new patients
Faith Hospice Family Medicine Current Accepting new patients
Hospice of Muskegon County, Inc. Hospice and Palliative Medicine PastSince Sep 23, 2024 Accepting new patients
Careline Hmi300 LLC Family Medicine PastSince Aug 8, 2021 Accepting new patients

Locations

8214 Pfeiffer Farms Dr SW
Byron Center, MI 49315
Phone (616) 235-5100

3443 Farr Rd
Fruitport, MI 49415
Phone (231) 672-2900

2100 Raybrook St SE
Ste 10
Grand Rapids, MI 49546
Phone (616) 235-5101

2100 Raybrook St SE
Ste 100
Grand Rapids, MI 49546
Phone (616) 235-5101

1050 W Western Ave
Ste 400
Muskegon, MI 49441
Phone (231) 728-3442

6425 Harvey St
Norton Shores, MI 49444
Phone (231) 737-3469

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1578054680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 W WESTERN AVE STE 400",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494411666",
            "telephone_number": "231-728-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 E MT GARFIELD RD",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494449733",
            "telephone_number": "231-728-3442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 W Western Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494411666",
            "country_code": "US",
            "telephone_number": "231-728-3442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6425 Harvey St",
            "address_purpose": "LOCATION",
            "city": "Norton Shores",
            "state": "MI",
            "postal_code": "494449739",
            "country_code": "US",
            "telephone_number": "231-722-0382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUIMSTRA",
        "first_name": "MELISSA",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101025150",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "MI",
            "license": "5101025150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.