Individual provider Active NPI

Kristen Mae Monroe, DNP, RN, FNP-BC

  • Family Nurse Practitioner
  • Dewitt, MI
National Provider Identifier
1881394807
Registry record updated Mar 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704297510 Issued in MI
Practice address
13072 Old Hickory TRL
Dewitt, MI 48820-9633
Phone
(517) 896-5096
NPI assigned
Mar 8, 2023
Last updated
Mar 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 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 4704297510 MI Primary

Addresses

Primary practice location

13072 Old Hickory TRL
Dewitt, MI 48820-9633

Mailing address

13072 Old Hickory TRL
Dewitt, MI 48820-9633
Phone (517) 896-5096

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
I20230521000111 MI Practitioner - Nurse Practitioner 6709242571 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pennock HospitalGroup PAC ID 4587551015, 79 clinicians

Practice addresses (Care Compare)

2776 S State Rd
Corewell Health Pennock Hospital
Ionia, MI 48846-8472
Phone (616) 775-7500

4294 Laurel Dr
Lake Odessa, MI 48849-8430
Phone (616) 374-7660

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

9090 S Rodgers CT SE a
Corewell Health Medical Group West
Caledonia, MI 49316-8052
Phone (616) 891-0422

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Health United CurrentSince Dec 1, 2025 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Dec 1, 2025 Accepting new patients
Spectrum Health United CurrentSince Dec 1, 2025 Accepting new patients
Pennock Hospital Family CurrentSince Dec 1, 2025 Accepting new patients
Recovery Physicians Network of Michigan CurrentSince Apr 26, 2023 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Dec 1, 2025 Accepting new patients
Pennock Hospital CurrentSince Dec 1, 2025 Accepting new patients

Locations

1227 W State St
Belding, MI 48809
Phone (616) 794-0800

1005 W Green St
Ste 300
Hastings, MI 49058
Phone (269) 948-8411

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

101 W Townsend Rd
Saint Johns, MI 48879
Phone (989) 403-6022

Organizations & group practices 8

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 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": "1678233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1881394807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13072 OLD HICKORY TRL",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488209633",
            "telephone_number": "517-896-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13072 OLD HICKORY TRL",
            "city": "DEWITT",
            "state": "MI",
            "postal_code": "488209633",
            "telephone_number": "517-896-5096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONROE",
        "first_name": "KRISTEN",
        "middle_name": "MAE",
        "credential": "DNP, RN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704297510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dewitt, MI

Sources for this page

Verify at the official NPI Registry.