Individual provider Active NPI

Kareen Lee Oosterhart, D.C.

  • Chiropractor
  • Kalkaska, MI
National Provider Identifier
1942217849
Registry record updated Jul 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301007436 Issued in MI
Practice address
798 W Mile Rd NW
Kalkaska, MI 49646-8431
Phone
(231) 258-4023
Fax
(231) 258-3291
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301007436 MI Primary

Addresses

Primary practice location

798 W Mile Rd NW
Kalkaska, MI 49646-8431

Mailing address

PO Box 1455
Kalkaska, MI 49646-1455
Phone (231) 258-4023

Other identifiers 2

IdentifierTypeStateIssuer
3470477MedicaidMI
950D050000OtherMIBLUE CROSS BLUESHIELD

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080924000742 MI Practitioner - ChiropracticPractitioner - Family Practice 8729155288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Family Practice
Education
Palmer College Chiropractic - Davenport, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Village Chiropractic Wellness Center, PLCGroup PAC ID 2365519709, 2 clinicians

Practice addresses (Care Compare)

798 W Mile Rd NW
Kalkaska, MI 49646-8431
Phone (231) 258-4023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Village Chiropractic Wellness Center, PLC Chiropractor CurrentSince May 23, 2008 Accepting new patients
Advanced Dermatology of Michigan PC PastSince May 23, 2008 Accepting new patients

Locations

798 W Mile Rd NW
Kalkaska, MI 49646
Phone (231) 258-4023

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1942217849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1455",
            "city": "KALKASKA",
            "state": "MI",
            "postal_code": "496461455",
            "telephone_number": "231-258-4023",
            "fax_number": "231-258-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "798 W MILE RD NW",
            "city": "KALKASKA",
            "state": "MI",
            "postal_code": "496468431",
            "telephone_number": "231-258-4023",
            "fax_number": "231-258-3291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OOSTERHART",
        "first_name": "KAREEN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301007436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3470477",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUESHIELD",
            "identifier": "950D050000",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalkaska, MI

Sources for this page

Verify at the official NPI Registry.