Individual provider Active NPI

Karin J Dekorver, NP

  • Family Nurse Practitioner
  • Grand Haven, MI
National Provider Identifier
1760134506
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704230617 Issued in MI
Practice address
1091 S Beacon Blvd
Grand Haven, MI 49417-2607
Phone
(616) 604-0096
Fax
(616) 604-0095
NPI assigned
Jan 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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 4704230617 MI Primary

Addresses

Primary practice location

1091 S Beacon Blvd
Grand Haven, MI 49417-2607

Mailing address

2302 Fillmore St
Jenison, MI 49428-9519
Phone (616) 308-9474

Other practice location 1

1471 E Beltline Ave NE Ste 202
Grand Rapids, MI 49525-4548
Phone (616) 410-7701

Other practice location 2

1670 E Sherman Blvd Ste 100
Muskegon, MI 49444-1863
Phone (231) 672-3600

Other practice location 3

7901 Angling Rd
Portage, MI 49024-0714
Phone (269) 324-8405

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
I20220311001110 MI Practitioner - Nurse Practitioner 9133514060 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synanon IncGroup PAC ID 6204899172, 7 clinicians
Patient One Care, PLLCGroup PAC ID 1658653860, 12 clinicians

Practice addresses (Care Compare)

1091 S Beacon Blvd
Grand Haven, MI 49417-2607
Phone (616) 842-3600

2871 44TH St SW
Afc Urgent Care
Grandville, MI 49418-2555
Phone (616) 410-7420

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Synanon Inc CurrentSince Sep 1, 2023 Accepting new patients
Iha Health Services Corporation Current Accepting new patients
Iha Health Services Corporation CurrentSince Oct 1, 2023 Accepting new patients
Ascension Borgess Hospital CurrentSince Apr 26, 2022 Accepting new patients
Patient One Care PLLC CurrentSince Sep 22, 2025 Accepting new patients
Patient One Care, PLLC CurrentSince Sep 22, 2025 Accepting new patients
Ascension Borgess Hospital Current Accepting new patients
Ascension Borgess Hospital CurrentSince Apr 26, 2022 Accepting new patients
Iha Health Service Corporation CurrentSince Oct 1, 2023 Accepting new patients
Mercy Health Partners PastSince Nov 28, 2022 Accepting new patients

Locations

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

1091 S Beacon Blvd
Grand Haven, MI 49417
Phone (616) 604-0096

1740 28th St SE
Grand Rapids, MI 49508
Phone (616) 200-8669

1471 E Beltline Ave NE
Ste 202
Grand Rapids, MI 49525
Phone (616) 410-7701

2871 44th St SW
Grandville, MI 49418
Phone (616) 410-7420

345 Baldwin St
Jenison, MI 49428
Phone (616) 294-8881

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1760134506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 FILLMORE ST",
            "city": "JENISON",
            "state": "MI",
            "postal_code": "494289519",
            "telephone_number": "616-308-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1091 S BEACON BLVD",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494172607",
            "telephone_number": "616-604-0096",
            "fax_number": "616-604-0095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1471 E Beltline Ave NE Ste 202",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495254548",
            "country_code": "US",
            "telephone_number": "616-410-7701",
            "fax_number": "616-656-3198",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1670 E Sherman Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494441863",
            "country_code": "US",
            "telephone_number": "231-672-3600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7901 Angling Rd",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "MI",
            "postal_code": "490240714",
            "country_code": "US",
            "telephone_number": "269-324-8405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEKORVER",
        "first_name": "KARIN",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-24",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704230617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

Verify at the official NPI Registry.