MRS. KRISTIN MARIE RETTIG – Family Nurse Practitioner, NPI 1962108902

MRS. KRISTIN MARIE RETTIG is a healthcare provider. based in Grand rapids, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. 4704310215 (MI). The NPI Number for MRS. KRISTIN MARIE RETTIG is 1962108902

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KRISTIN MARIE RETTIG
NPI
1962108902
Phone
(616) 459-0801
Address
350 LAFAYETTE AVE SE, SUITE 301
Enumeration Date
1 February 2023
Last Update Date
9 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6164590801
Graduation Year
2023 (3 years ago)
PAC ID
5799121067
Group Practice PAC ID
2264589688
Professional Enrollment ID
I20240308000998
Address ID
MI495034656GR350XXSEXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for MRS. KRISTIN MARIE RETTIG

  • 350 LAFAYETTE AVE SE, SUITE 301

    GRAND RAPIDS, MI 49503

    Phone: (616) 459-0801

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $139.

Total Amount is formed as General ($139) + Research ($0) + Ownership ($0) = $139.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Merz Pharmaceuticals, LLC ($42).

Total Amount

$139

General + Research + Ownership

Payments

5

Total payment records

General Amount

$139

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240308000998INurse PractitionerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49503)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264589688View full group profile
NameSpecialtyState
Nurse PractitionerMI
Clinical Social WorkerMI
Physical Medicine And RehabilitationMI
Family PracticeMI
Physical Medicine And RehabilitationMI

Reviews

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Frequently asked questions

Can I verify MRS. KRISTIN MARIE RETTIG with an NPI only?
You can start verification with NPI 1962108902 for MRS. KRISTIN MARIE RETTIG, then check state licensing separately.
Is MRS. KRISTIN MARIE RETTIG still practicing?
MRS. KRISTIN MARIE RETTIG is currently listed as active in the public NPI registry.
What is MRS. KRISTIN MARIE RETTIG's primary classification?
Family Nurse Practitioner is the headline specialty for MRS. KRISTIN MARIE RETTIG here. Clinical services aligned with this taxonomy classification.
What area does MRS. KRISTIN MARIE RETTIG serve?
MRS. KRISTIN MARIE RETTIG's listing highlights Grand Rapids, Michigan; more addresses can appear in NPPES.
Is the information about MRS. KRISTIN MARIE RETTIG up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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