Individual provider Active NPI

Christina Marie Houck-Smith, MSN RN FNP-C

  • Family Nurse Practitioner
  • Holland, MI
National Provider Identifier
1639733868
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.024336 Issued in OH
Practice address
12460 Riley St
Holland, MI 49424-8217
Phone
(616) 399-6500
NPI assigned
Apr 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 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 APRN.CNP.024336 OH Primary

Addresses

Primary practice location

12460 Riley St
Holland, MI 49424-8217

Mailing address

155 Summer Wind CT
Holland, MI 49424-8617
Phone (330) 933-0712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190808004110 OH Practitioner - Nurse Practitioner 4688901986 Reassigns benefits to 1 organization
I20220805000383 MI Practitioner - Nurse Practitioner 4688901986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cancer and Hematology Centers of Western Mi, P.C.Group PAC ID 4082526793, 109 clinicians

Practice addresses (Care Compare)

6425 S Harvey St
Norton Shores, MI 49444-9739
Phone (231) 737-3469

Hospital & facility affiliations

  • Holland Hospital Hospital, Holland, MI, CCN 230072
  • Spectrum Health Hospital, Grand Rapids, MI, CCN 230038

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
APRN.CNP.024336OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aultman Hospital CurrentSince Jul 15, 2019 Accepting new patients
Aultman Hospital CurrentSince Jul 15, 2019 Accepting new patients
Cancer & Hematology Centers of Western Mi, P.C. CurrentSince Jul 18, 2022 Accepting new patients
Cancer & Hematology Centers of Western Mi, P.C. Past Accepting new patients
Spectrum Health Hospitals Past Accepting new patients

Locations

5800 Foremost Dr SE
Ste 100
Grand Rapids, MI 49546
Phone (616) 954-5554

710 Kenmoor Ave SE
Ste 200
Grand Rapids, MI 49546
Phone (616) 588-7246

145 Michigan St NE
Ste 3100
Grand Rapids, MI 49503
Phone (616) 954-9800

250 Cherry St SE
Ste 2200
Grand Rapids, MI 49503
Phone (616) 685-5600

5800 Foremost Dr SE
Ste 200
Grand Rapids, MI 49546
Phone (616) 389-1800

5800 Foremost Dr SE
Ste 300
Grand Rapids, MI 49546
Phone (616) 389-1725

12460 Riley St
Holland, MI 49424
Phone (616) 399-1308

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

2600 Tuscarawas St W
Ste 420
Canton, OH 44708
Phone (330) 453-4300

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1639733868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 SUMMER WIND CT",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248617",
            "telephone_number": "330-933-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12460 RILEY ST",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248217",
            "telephone_number": "616-399-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUCK-SMITH",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MSN RN FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.024336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.