Individual provider Active NPI

Krista Anne Katzer

  • Audiologist
  • East Lansing, MI
National Provider Identifier
1942686993
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1601000707 Issued in MI
Practice address
1500 Abbot Rd
Suite 400
East Lansing, MI 48823-1222
Phone
(517) 332-0100
Fax
(517) 324-7193
NPI assigned
Jul 31, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1601000707 MI Primary

Addresses

Primary practice location

1500 Abbot Rd
Suite 400
East Lansing, MI 48823-1222

Mailing address

1500 Abbot Rd
Suite 400
East Lansing, MI 48823-1222
Phone (517) 332-0100

Other names 1

  • Krista Dornbos Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150813011807 MI Practitioner - Qualified Audiologist 5496060899 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Ear Nose Throat and Allergy Specialists PCGroup PAC ID 4183868094, 42 clinicians

Practice addresses (Care Compare)

3501 Rivertown Point CT SW
Grandville, MI 48418-3038
Phone (616) 994-2770

Merit-based Incentive Payment System (MIPS)

Final score
85.85 of 100Reported as group
Quality
81.22
Promoting interoperability
100
Improvement activities
40
Cost
71.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Ear, Nose, Throat, and Allergy Specialists, PC Audiologist CurrentSince Feb 21, 2021 Accepting new patients
Mid Michigan Ear Nose and Throat PC CurrentSince Aug 1, 2015 Accepting new patients
Mid Michigan Ear Nose & Throat, P.C. Audiologist PastSince Aug 1, 2015 Accepting new patients

Locations

516 Linn St
Allegan, MI 49010
Phone (269) 673-5200

6470 Cherry Meadow Dr SE
Caledonia, MI 49316

1500 Abbott Rd
Ste 400
East Lansing, MI 48823
Phone (517) 324-4911

17168 Timber View Dr
Grand Haven, MI 49417
Phone (616) 414-3088

739 E Beltline Ave NE
Grand Rapids, MI 49525
Phone (616) 949-3667

3501 Rivertown Point Ct SW
Grandville, MI 49418
Phone (616) 396-1433

3100 N Wellness Dr
Holland, MI 49424
Phone (616) 396-1433

Organizations & group practices 3

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": "1438300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1942686993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 ABBOT RD",
            "address_2": "SUITE 400",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488231222",
            "telephone_number": "517-332-0100",
            "fax_number": "517-324-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 ABBOT RD",
            "address_2": "SUITE 400",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488231222",
            "telephone_number": "517-332-0100",
            "fax_number": "517-324-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATZER",
        "first_name": "KRISTA",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-31",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "DORNBOS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.