PINE REST CHRISTIAN MENTAL HEALTH SERVICES
NPI 1467463604
Nurse Practitioner in Grand Rapids, MI

NPI Status: Active since August 11, 2006

Contact Information

300 68TH ST SE
GRAND RAPIDS, MI
ZIP 49548
Phone: (616) 455-5000

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  • Organization
  • Nurse Practitioner
  • Accepts Insurance

About PINE REST CHRISTIAN MENTAL HEALTH SERVICES

This page provides the complete NPI Profile along with additional information for Pine Rest Christian Mental Health Services, a provider established in Grand Rapids, Michigan operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1467463604 assigned on August 2006. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Pine Rest Christian Mental Health Services operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Diane Fennema (Managed Care Administrator)

NPI
1467463604
Provider Name
PINE REST CHRISTIAN MENTAL HEALTH SERVICES
Entity Type
Organization
Location Address
300 68TH ST SE GRAND RAPIDS, MI 49548
Location Phone
(616) 455-5000
Mailing Address
300 68TH ST SE GRAND RAPIDS, MI 49548
Mailing Phone
(616) 455-5000
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-11-2006
Last Update Date
11-04-2020
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A nurse practitioner (NP) like Pine Rest Christian Mental Health Services is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Select HMO Bronze Saver HSA - HMO
  • Blue Cross� Select HMO Bronze Secure - HMO
  • Blue Cross� Select HMO Silver - HMO
  • Blue Cross� Select HMO Silver Extra - HMO
  • Blue Cross� Select HMO Silver Saver - HMO
  • Blue Cross� Select HMO Value - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DIANE FENNEMA

Authorized Official Title
MANAGED CARE ADMINISTRATOR
Authorized Official Phone
(616) 281-6372

Reviews for PINE REST CHRISTIAN MENTAL HEALTH SERVICES

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1467463604
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2412786660
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 2 + 7 + 8 + 6 + 6 + 6 + 0 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1467463604 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1114920550EMERGENCY PHYSICIANS INC PC
Organization
General Practice300 68TH ST SE
GRAND RAPIDS, MI 49548
(616) 455-5000
1235180720 JAIME AYALA M.D.
Individual
Psychiatry & Neurology (Psychiatry)300 68TH ST SE
GRAND RAPIDS, MI 49548
(616) 455-5270
1093761827 WILLIAM H BEUTE M.D.
Individual
Psychiatry & Neurology (Psychiatry)300 68TH ST SE
GRAND RAPIDS, MI 49548
(616) 455-5270
1174579767 ALAN M ARMSTRONG M.D.
Individual
General Practice300 68TH ST SE
GRAND RAPIDS, MI 49548
(616) 455-5000
1639125040 CARLOS A MARCANO MD
Individual
Psychiatry & Neurology (Psychiatry)300 68TH ST SE
GRAND RAPIDS, MI 49548
(616) 455-5000
1598712184 GARY A BURKHART PH.D.
Individual
Psychologist300 68TH ST SE
GRAND RAPIDS, MI 49548
(616) 455-5000
1841237765 RICHARD BAEZ PSY.D., LLP
Individual
Psychologist300 68TH ST SE
GRAND RAPIDS, MI 49548
(616) 455-5000
1043250368 DANIEL MARK SCHELLENBERG MD
Individual
Psychiatry & Neurology (Psychiatry)300 68TH ST SE
GRAND RAPIDS, MI 49548
(616) 455-5000
1659311801 MELINDA JUNE WALDROP MD
Individual
Psychiatry & Neurology (Psychiatry)300 68TH ST SE
GRAND RAPIDS, MI 49548
(616) 281-6372
1285674507 GARY L RICH MD
Individual
Psychiatry & Neurology (Psychiatry)300 68TH ST SE
GRAND RAPIDS, MI 49548
(616) 455-5000
1669413969DR. KIMBERLY JOY CURYTO PH.D.
Individual
Psychologist300 68TH ST SE
GRAND RAPIDS, MI 49548
(616) 455-5000
1053352807 CONSTANCE LOUISE DEVANTIER PH.D.
Individual
Psychologist300 68TH ST SE
GRAND RAPIDS, MI 49548
(616) 455-5000
1033153010 THOMAS J ELZINGA MA, LLP
Individual
Psychologist300 68TH ST SE
GRAND RAPIDS, MI 49548
(616) 455-5000
1265476220 MARK E DEVRIES PH.D.
Individual
Clinical Neuropsychologist300 68TH ST SE
GRAND RAPIDS, MI 49548
(616) 455-5000
1124062146 JUDITH ANN DREW MA, LLP
Individual
Psychologist300 68TH ST SE
GRAND RAPIDS, MI 49548
(616) 455-5000
1689610487 KATHY MAY PALKA MA, LLP
Individual
Psychologist300 68TH ST SE
GRAND RAPIDS, MI 49548
(616) 455-5000
1295771640 THOMAS WILLIAM GRAHAM MA, LLP
Individual
Psychologist300 68TH ST SE
GRAND RAPIDS, MI 49548
(616) 455-5000
1992733653 THOMAS SCOTT HALSTEAD PH.D.
Individual
Psychologist300 68TH ST SE
GRAND RAPIDS, MI 49548
(616) 455-5000
1508881806 BARBARA E GRITTER LMSW, ACSW
Individual
Social Worker (Clinical)300 68TH ST SE SUITE B
GRAND RAPIDS, MI 49548
(616) 281-6345
1568477842 BRUCE KEVIN RETTERATH PH.D.
Individual
Psychologist300 68TH ST SE
GRAND RAPIDS, MI 49548
(616) 455-5000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467463604, enumerated in the NPI registry as an "organization" on August 11, 2006

The provider is located at 300 68th St Se Grand Rapids, Mi 49548 and the phone number is (616) 455-5000

This medical organization specializes in Nurse Practitioner with taxonomy code 363L00000X

The provider might be accepting Accepts: Blue Care Network of Michigan and Molina. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on August 11, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.