Individual provider Active NPI

Kristen S Lawrence, MD

  • Obstetrics & Gynecology Physician
  • Muskegon, MI
National Provider Identifier
1669464731
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301079214 Issued in MI
Practice address
1675 Leahy St
Suite 428
Muskegon, MI 49442-5500
Phone
(231) 672-3300
Fax
(231) 672-3380
NPI assigned
Aug 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301079214 MI Primary

Addresses

Primary practice location

1675 Leahy St
Suite 428
Muskegon, MI 49442-5500

Mailing address

PO Box 1847
Muskegon, MI 49443-1847
Phone (231) 727-4444

Other practice location 1

601 John St Ste N1200
Kalamazoo, MI 49007-5318
Phone (269) 341-7979

Other identifiers 4

IdentifierTypeStateIssuer
MI1763030OtherMIMEDICARE PTAN
MI4162002OtherMIMEDICARE PTAN
P114288OtherMIBCN/BLUE CHOICE
N42130035OtherMIMEDICARE PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct Bronson HealthCare Group

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
I20060425000590 MI Practitioner - Obstetrics/Gynecology 2769492438 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301079214MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Huron Pathology Services PC Current Accepting new patients
McLaren Thumb Region CurrentSince Dec 9, 2022 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Nov 16, 2022 Accepting new patients
Bronson Methodist Hospital Obstetrics & Gynecology CurrentSince Nov 16, 2022 Accepting new patients
Bronson Battle Creek Hospital Obstetrics & Gynecology CurrentSince Nov 16, 2022 Accepting new patients
McLaren Thumb Region Current Accepting new patients
McLaren Thumb Region CurrentSince Dec 9, 2022 Accepting new patients
Mercy Health Partners - Physician Specialist CurrentSince Nov 15, 2010 Accepting new patients
Mercy Health Partners Past Accepting new patients
Mercy Specialty Services Obstetrics & Gynecology Past Accepting new patients

Locations

1100 S Van Dyke Rd
Bad Axe, MI 48413
Phone (989) 269-9521

3238 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 979-6432

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

601 John St
Ste N1200
Kalamazoo, MI 49007
Phone (269) 341-7887

212 Winston Dr
Marshall, MI 49068
Phone (269) 245-5460

1500 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-3027

1675 Leahy St
Ste 428B
Muskegon, MI 49442
Phone (231) 672-3300

1675 Leahy St
Ste 201A
Muskegon, MI 49442
Phone (231) 672-6600

1700 Clinton St
Muskegon, MI 49442
Phone (231) 726-3511

1675 Leahy St
Ste 328B
Muskegon, MI 49442
Phone (231) 727-3098

1675 Leahy St
Ste 428
Muskegon, MI 49442
Phone (231) 672-3300

Interoperability endpoints

  • Direct secure messaging: direct@direct.bronsonhg.org

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1669464731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1847",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494431847",
            "telephone_number": "231-727-4444",
            "fax_number": "231-727-4571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 LEAHY ST",
            "address_2": "SUITE 428",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494425500",
            "telephone_number": "231-672-3300",
            "fax_number": "231-672-3380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 John St Ste N1200",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490075318",
            "country_code": "US",
            "telephone_number": "269-341-7979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "KRISTEN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301079214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "MI1763030",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "MI4162002",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN/BLUE CHOICE",
            "identifier": "P114288",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "N42130035",
            "state": "MI"
        }
    ],
    "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 Docment",
            "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 Muskegon, MI

Sources for this page

Verify at the official NPI Registry.