NPIMap

Individual provider Active NPI

Devon Marie Kruger, NP

  • Family Nurse Practitioner
  • Ionia, MI
National Provider Identifier
1619578234
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704276403 Issued in MI
Practice address
2776 S State Rd
Ionia, MI 48846-8472
Phone
(616) 775-7500
NPI assigned
Nov 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704276403 MI Primary

Addresses

Primary practice location

2776 S State Rd
Ionia, MI 48846-8472

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201119002038 MI Practitioner - Nurse Practitioner 2961813100 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pennock HospitalGroup PAC ID 4587551015, 79 clinicians

Practice addresses (Care Compare)

2776 S State Rd
Corewell Health Pennock Hospital
Ionia, MI 48846-8472
Phone (616) 775-7500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704276403MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Eaton Hospital Current Accepting new patients
Sparrow Eaton Hospital CurrentSince Dec 1, 2020 Accepting new patients
Spectrum Health United CurrentSince Dec 1, 2025 Accepting new patients
Pennock Hospital CurrentSince Jan 23, 2023 Accepting new patients
Pennock Hospital Nurse Practitioner CurrentSince Jan 23, 2023 Accepting new patients
Spectrum Health United CurrentSince Dec 1, 2025 Accepting new patients
Spectrum Health Primary Care Partners Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

1227 W State St
Belding, MI 48809
Phone (616) 794-0800

123 Lansing St
Ste 3A
Charlotte, MI 48813
Phone (517) 543-0600

111 Lansing St
Ste 110
Charlotte, MI 48813
Phone (517) 541-5855

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

1005 W Green St
Ste 300
Hastings, MI 49058
Phone (269) 948-8411

2776 S State Rd
Ionia, MI 48846
Phone (616) 267-8700

Interoperability endpoints

  • Direct secure messaging: dkruger877999@epic00.corewelldirect.org

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1619578234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2776 S STATE RD",
            "city": "IONIA",
            "state": "MI",
            "postal_code": "488468472",
            "telephone_number": "616-775-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUGER",
        "first_name": "DEVON",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-02",
        "last_updated": "2022-12-28",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704276403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ionia, MI

Sources for this page

Verify at the official NPI Registry.