Active NPI
Karin J Dekorver, NP
- Family Nurse Practitioner
- Grand Haven, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704230617
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Synanon Inc | Current | Accepting new patients | |
| Iha Health Services Corporation | Current | Accepting new patients | |
| Iha Health Services Corporation | Current | Accepting new patients | |
| Ascension Borgess Hospital | Current | Accepting new patients | |
| Patient One Care PLLC | Current | Accepting new patients | |
| Patient One Care, PLLC | Current | Accepting new patients | |
| Ascension Borgess Hospital | Current | Accepting new patients | |
| Ascension Borgess Hospital | Current | Accepting new patients | |
| Iha Health Service Corporation | Current | Accepting new patients | |
| Mercy Health Partners | Past | 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.
-
- Urgent Care Clinic/Center
- Grand Rapids, MI
- NPI 1770934325
-
- Urgent Care Clinic/Center
- Grand Haven, MI
- NPI 1588650261
-
- General Acute Care Hospital
- Kalamazoo, MI
- NPI 1568416311
-
dba IHA Canton Obstetrics and Gynecology
- Obstetrics & Gynecology Physician
- Canton, MI
- NPI 1457408965
-
- Urgent Care Clinic/Center
- Portage, MI
- NPI 1417130154
-
- Diagnostic Radiology Physician
- Kalamazoo, MI
- NPI 1518753441
-
dba Trinity Health IHA Medical Group OB/GYN Float
- Obstetrics & Gynecology Physician
- Ypsilanti, MI
- NPI 1831053701
-
dba IHA Urgent Care-Domino's Farms
- Urgent Care Clinic/Center
- Ann Arbor, MI
- NPI 1992937023
-
dba Trinity Health Medical Group
- Certified Registered Nurse Anesthetist
- Shelby, MI
- NPI 1154910172
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Grand Haven, MI
- NPI 1942379284
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.