Individual provider Active NPI

Kristen L Sumners, D.O.

  • Family Medicine Physician
  • Zeeland, MI
National Provider Identifier
1790071652
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101019161 Issued in MI
Practice address
8300 Westpark Way
Zeeland, MI 49464-7901
Phone
(616) 772-7314
NPI assigned
Jun 20, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101019161 MI Primary

Addresses

Primary practice location

8300 Westpark Way
Zeeland, MI 49464-7901

Mailing address

8300 Westpark Way
Zeeland, MI 49464-7901
Phone (616) 772-7314

Other names 1

  • Kristen L Anderlite Former name

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
I20140602000191 MI Practitioner - Family Practice 6507009396 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holland Community HospitalGroup PAC ID 0446157291, 174 clinicians

Practice addresses (Care Compare)

8300 Westpark Way
Family Medicine Zeeland
Zeeland, MI 49464-7901
Phone (616) 772-7314

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101019161MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holland Community Hospital Family Medicine CurrentSince Mar 8, 2016 Accepting new patients
Holland Community Hospital CurrentSince Mar 8, 2016 Accepting new patients
Holland Community Hospital Current Accepting new patients
Holland Community Hospital Past Accepting new patients

Locations

415 Wiley Rd
Ste 102
Douglas, MI 49406
Phone (269) 857-3208

577 Michigan Ave
Ste 101
Holland, MI 49423
Phone (616) 393-2190

3232 N Wellness Dr
Holland, MI 49424
Phone (616) 494-4250

175 S Waverly Rd
Holland, MI 49423
Phone (616) 355-3896

8300 Westpark Way
Zeeland, MI 49464
Phone (616) 748-5760

Interoperability endpoints

  • Direct secure messaging: kristen.sumners@holland.eclinicaldirectplus.com

Organizations & group practices 4

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 2

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": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1790071652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 WESTPARK WAY",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494647901",
            "telephone_number": "616-772-7314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 WESTPARK WAY",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494647901",
            "telephone_number": "616-772-7314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMNERS",
        "first_name": "KRISTEN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101019161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "ANDERLITE",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Zeeland, MI

Sources for this page

Verify at the official NPI Registry.