Individual provider Active NPI

Krista Bedells, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Okemos, MI
National Provider Identifier
1700225182
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704294815 Issued in MI
Practice address
2111 University Park Dr Ste 400
Okemos, MI 48864-6907
Phone
(517) 917-4035
NPI assigned
Jun 19, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704294815 MI Primary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 4704294815 MI

Addresses

Primary practice location

2111 University Park Dr Ste 400
Okemos, MI 48864-6907

Mailing address

PO Box 10
Mason, MI 48854-0010
Phone (517) 676-9788

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180302001314 MI Practitioner - Nurse Practitioner 4284995432 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2111 University Park Dr
Suite 400
Okemos, MI 48864-6907
Phone (517) 917-4035

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704294815MIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ottawa CurrentSince Dec 8, 2018 Accepting new patients
County of Ottawa CurrentSince Dec 8, 2018 Accepting new patients
Kab Mi Enterprises LLC Psychiatric/Mental Health CurrentSince Mar 1, 2018 Accepting new patients

Locations

12265 James St
Holland, MI 49424
Phone (616) 392-1873

134 W Maple St
Mason, MI 48854
Phone (517) 676-9788

2111 University Park Dr
Ste 400
Okemos, MI 48864
Phone (517) 575-7823

4084 Okemos Rd
Okemos, MI 48864
Phone (517) 347-4848

Interoperability endpoints

  • Direct secure messaging: sohomd.kristabedells@157389.advancedmd-direct.com

Organizations & group practices 3

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": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782864000000",
    "number": "1700225182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488540010",
            "telephone_number": "517-676-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2111 UNIVERSITY PARK DR STE 400",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488646907",
            "telephone_number": "517-917-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDELLS",
        "first_name": "KRISTA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2026-07-01",
        "certification_date": "2026-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704294815",
            "primary": true
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MI",
            "license": "4704294815",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okemos, MI

Sources for this page

Verify at the official NPI Registry.