Active NPI
Janine Marie Kerkstra, PAC
- Medical Physician Assistant
- Holland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 5601004513
- Practice address
- 503 Century LN
Suite 2
Holland, MI 49423 - Phone
- (616) 295-8284
- Fax
- (616) 834-0446
- NPI assigned
- Jan 10, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 5601004513 | MI | Primary |
| Physician Assistant | 363A00000X | 5601004513 | MI |
Addresses
Primary practice location
503 Century LN
Suite 2
Holland, MI 49423
Mailing address
503 Century LN
Suite 2
Holland, MI 49423
Phone (616) 295-8284
Other names 1
- Miss Janine Marie Waltereit
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | office@hopeandwholenesspsychology.com | Direct |
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
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
300 68TH St SE
Grand Rapids, MI 49548-6927
Phone (616) 455-5000
300 SE 68TH St
Grand Rapids, MI 49548-6927
Phone (616) 455-5000
Hospital & facility affiliations
- Spectrum Health
- University of Michigan Health - West
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601004513 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pine Rest Christian Mental Health Services | Current | Accepting new patients | |
| Pine Rest Christian Mental Health Services | Current | Accepting new patients | |
| Pine Rest Christian Mental Health Services | Physician Assistant | Past | Accepting new patients |
Locations
300 68th St SE
Wyoming, MI 49548
Phone (616) 455-5000
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.
-
- General Practice Physician
- Grand Rapids, MI
- NPI 1851309884
-
- Clinical Psychologist
- Holland, MI
- NPI 1841726809
-
- Professional Counselor
- Grand Rapids, MI
- NPI 1386015683
-
- Physician Assistant
- Grand Rapids, MI
- NPI 1376554519
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wyoming, MI
- NPI 1619923919
-
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1922090554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1851440424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "503 CENTURY LN",
"address_2": "SUITE 2",
"city": "HOLLAND",
"state": "MI",
"postal_code": "49423",
"telephone_number": "616-295-8284",
"fax_number": "616-834-0446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "503 CENTURY LN",
"address_2": "SUITE 2",
"city": "HOLLAND",
"state": "MI",
"postal_code": "49423",
"telephone_number": "616-295-8284",
"fax_number": "616-834-0446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERKSTRA",
"first_name": "JANINE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MI",
"license": "5601004513",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601004513",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "office@hopeandwholenesspsychology.com",
"affiliation": "N",
"endpointDescription": "office email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "503 Century Ln Ste 2",
"city": "Holland",
"state": "MI",
"country_code": "US",
"postal_code": "494234318",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JANINE",
"last_name": "WALTEREIT",
"middle_name": "MARIE",
"prefix": "MISS",
"credential": "PAC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Holland, 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.