Faith Marie Richards, FNP – Nurse Practitioner

Key facts

NPI: 1831549815
Entity type: Individual (NPI type 1)
Primary specialty: Nurse Practitioner 363L00000X
License: 4704279405 (MI)
Practice address: 25 Conran Dr
Suite B
Coopersville, MI 49404-1366
Phone: (616) 267-7860
NPI assigned: Jun 21, 2016
Sex: Female
Sole proprietor: No

Organizations & group practices 2

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.

Spectrum Health Primary Care Partners Internal Medicine Physician · Grand Rapids, MI · NPI 1235188673

Medicare reassignment Care Compare group NPD MI
Spectrum Health Primary Care Partners Internal Medicine Physician · Grand Rapids, MI · NPI 1689499667

NPD

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Pennock Hospital Critical Access Hospital · Hastings, MI · NPI 1932695525

Care Compare affiliation Hospital
Spectrum Health Hospitals General Acute Care Hospital · Grand Rapids, MI · NPI 1922090554

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2016
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Spectrum Health Primary Care Partners (2,283 clinicians)

Practice addresses (Care Compare)

4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600

Hospital & facility affiliations

Spectrum Health Hospital · Grand Rapids, MI · CCN 230038

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MI
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20160802002497	MI	Practitioner - Nurse Practitioner	4486948239	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes

Practice roles

Organization	Specialty	Status	New patients
Spectrum Health Primary Care Partners		Current since Sep 4, 2016	Accepting new patients
Spectrum Health Primary Care Partners		Current since Sep 4, 2016	Accepting new patients

Locations

25 Conran Dr
Ste B
Coopersville, MI 49404
Phone (616) 267-7860

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

Interoperability endpoints

Direct secure messaging: frichards121869@epic00.corewelldirect.org

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Nurse Practitioner	363L00000X	4704279405	MI	Yes

Addresses

Primary practice location

25 Conran Dr
Suite B
Coopersville, MI 49404-1366

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

Other names

Faith Marie Vandyke Other name

Electronic endpoints

Type	Endpoint	Use	Affiliation
Direct Messaging Address	frichards121869@epic00.shdirect.org
FHIR URL	https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/

Other providers in Coopersville, MI

All providers in Coopersville, MI · Nurse Practitioner in Michigan

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.