Look up the most recent NPI and PECOS records

Kristin Witte

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

250 Cherry St SE, Grand Rapids, MI 49503

PECOS Enrollment

Based on the most recent information from CMS, provider Kristin Witte is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 10:37 AM.

Profile Details

Provider ID
1497721047
Provider Type
Individual
Full Name
Witte, Kristin
Title
Ms.
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
2/24/2006
Last Updated
11/5/2010

Contact Information

Practice Location

250 Cherry St SE, Grand Rapids, MI 49503

(616) 685-6714

(616) 685-5260

Mailing Location

245 State St SE, Ste 228, Grand Rapids, MI 49503

(616) 685-1808

(616) 685-1850

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 5601003914 Michigan

Kristin Witte

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Stewart, Samantha Diane

Quinnan, Anna Noelle

Rogers, Abby Jayne

Honderd, Holly

Mcmanes, April D

Wing, Amy Lynn

Wainscott, Teresa L

Huisken, Briana

Reame, Claire M

Charleston, Mary Elizabeth