Individual provider Active NPI

Kristi Ann Bearup, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Ludington, MI
National Provider Identifier
1821781907
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704255501 Issued in MI
Practice address
1031 N Beechwood Dr
Ludington, MI 49431-1319
Phone
(231) 690-2905
NPI assigned
Jun 2, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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 4704255501 MI Primary

Addresses

Primary practice location

1031 N Beechwood Dr
Ludington, MI 49431-1319

Mailing address

1031 N Beechwood Dr
Ludington, MI 49431-1319
Phone (231) 690-2905

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
I20231025001845 MI Practitioner - Nurse Practitioner 6002262151 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Michigan Foot and Ankle PLLCGroup PAC ID 7719386341, 2 clinicians

Practice addresses (Care Compare)

333 N Jebavy Dr
Ludington, MI 49431-1923
Phone (231) 843-2690

4310 Leonard St NW
Suite 103
Walker, MI 49534-8447

Hospital & facility affiliations

  • Corewell Health Ludington Hospital Hospital, Ludington, MI, CCN 230110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
West Michigan Foot and Ankle PLLC CurrentSince Dec 1, 2024 Accepting new patients
Transitional Care Services, LLC CurrentSince Sep 27, 2023 Accepting new patients
Foot and Ankle Clinic of West Michigan,PC Past Accepting new patients

Locations

333 N Jebavy Dr
Ludington, MI 49431
Phone (231) 843-2690

4310 Leonard St NW
Ste 103
Walker, MI 49534
Phone (616) 453-0600

5758 Cooley Lake Rd
Waterford, MI 48327
Phone (855) 466-3631

4568 W Walton Blvd
Ste D
Waterford Township, MI 48329
Phone (855) 466-3631

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.

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": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1821781907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 N BEECHWOOD DR",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494311319",
            "telephone_number": "231-690-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 N BEECHWOOD DR",
            "city": "LUDINGTON",
            "state": "MI",
            "postal_code": "494311319",
            "telephone_number": "231-690-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEARUP",
        "first_name": "KRISTI",
        "middle_name": "ANN",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2023-06-02",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704255501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ludington, MI

Sources for this page

Verify at the official NPI Registry.