Individual provider Active NPI

Janine Marie Kerkstra, PAC

  • Medical Physician Assistant
  • Holland, MI
National Provider Identifier
1851440424
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601004513 Issued in MI
Practice address
503 Century LN
Suite 2
Holland, MI 49423
Phone
(616) 295-8284
Fax
(616) 834-0446
NPI assigned
Jan 10, 2007
Last updated
Aug 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080225000585 MI Practitioner - Physician Assistant 9638253081 Reassigns benefits to 2 organizations

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601004513MIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Rest Christian Mental Health Services CurrentSince Nov 1, 2011 Accepting new patients
Hope & Wholeness Psychology Center, LLC CurrentSince May 1, 2026 Accepting new patients
Pine Rest Christian Mental Health Services CurrentSince Nov 1, 2011 Accepting new patients
Pine Rest Christian Mental Health Services Physician Assistant Past Accepting new patients

Locations

503 Century Ln
Ste 2
Holland, MI 49423
Phone (616) 295-8284

1877 Georgetown Center Dr
Jenison, MI 49428
Phone (616) 287-4330

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.