Individual provider Active NPI

Kaitlyn Renea Hill, FNP-C

  • Family Nurse Practitioner
  • Grand Blanc, MI
National Provider Identifier
1982204640
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704322483 Issued in MI
Practice address
600 Health Park Blvd
Grand Blanc, MI 48439-2558
Phone
(810) 603-8400
NPI assigned
Oct 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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 4704322483 MI Primary

Addresses

Primary practice location

600 Health Park Blvd
Grand Blanc, MI 48439-2558

Mailing address

600 Health Park Blvd
Grand Blanc, MI 48439-2558
Phone (810) 625-4322

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
I20201209001400 MI Practitioner - Nurse Practitioner 5092127431 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flint Gastroenterology Associates PCGroup PAC ID 3072589100, 11 clinicians

Practice addresses (Care Compare)

8275 Holly Rd
Suite 2
Grand Blanc, MI 48439-2442
Phone (810) 603-8400

Hospital & facility affiliations

  • Ascension Genesys Hospital Hospital, Grand Blanc, MI, CCN 230197

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704322483MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Flint Gastroenterology Associates PC CurrentSince Jan 17, 2022 Accepting new patients
Bronson Methodist Hospital CurrentSince Jan 20, 2021 Accepting new patients

Locations

8275 Holly Rd
Ste 2
Grand Blanc, MI 48439
Phone (810) 603-8400

600 Health Park Blvd
Ste D
Grand Blanc, MI 48439
Phone (810) 424-2011

601 John St
Ste M-302
Kalamazoo, MI 49007
Phone (269) 276-0000

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

3304 Cooley Ct
Portage, MI 49024
Phone (269) 349-2266

Interoperability endpoints

  • Direct secure messaging: kaitlynhill@pmi.allscriptsdirect.net
  • Direct secure messaging: kdavidson784008@direct.hfhs.org

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.

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": "1604016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1982204640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HEALTH PARK BLVD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392558",
            "telephone_number": "810-625-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HEALTH PARK BLVD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392558",
            "telephone_number": "810-603-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "KAITLYN",
        "middle_name": "RENEA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-30",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704322483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.