Active NPI
Kristine Lynn Lidbeck, FNP-BC
- Family Nurse Practitioner
- Muskegon, MI
National Provider Identifier
1578074654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704298187
- Practice address
- 1400 Mercy Dr Ste 100
Muskegon, MI 49444-1833 - Phone
- (231) 733-1326
- Fax
- (231) 733-5212
- NPI assigned
- Oct 17, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704298187 | MI | Primary |
Addresses
Primary practice location
1400 Mercy Dr Ste 100
Muskegon, MI 49444-1833
Mailing address
1400 Mercy Dr Ste 100
Muskegon, MI 49444-1833
Phone (231) 733-1326
Other practice location 1
2009 Holton Rd
Muskegon, MI 49445-1578
Phone (231) 291-8399
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Saginaw Valley Medical College - NLG, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1400 Mercy Dr
Suite 100
Muskegon, MI 49444-1833
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.76 of 100
- Quality
- 100
- Promoting interoperability
- 91
- Improvement activities
- 40
- Cost
- 96.35
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1578074654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 MERCY DR STE 100",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494441833",
"telephone_number": "231-733-1326",
"fax_number": "231-733-5212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 MERCY DR STE 100",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494441833",
"telephone_number": "231-733-1326",
"fax_number": "231-733-5212"
}
],
"practiceLocations": [
{
"address_1": "2009 Holton Rd",
"address_purpose": "LOCATION",
"city": "Muskegon",
"state": "MI",
"postal_code": "494451578",
"country_code": "US",
"telephone_number": "231-291-8399",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIDBECK",
"first_name": "KRISTINE",
"middle_name": "LYNN",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-17",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704298187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.