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DR. KARI ROSE FORMSMA M.D.
NPI 1073572830
Obstetrics & Gynecology in Grand Rapids, MI

Active since March 21, 2006PECOS Enrolled
200 JEFFERSON AVE SE, 9TH FLOOR, GRAND RAPIDS, MI 49503(616) 685-6501 Get Directions Write a Review

NPPES record last updated: January 9, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kari Rose Formsma M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KARI ROSE FORMSMA M.D. (NPI 1073572830) is an individual obstetrics & gynecology provider in Grand Rapids, Michigan, licensed in Michigan (4301059866) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073572830
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. KARI ROSE FORMSMACredential: M.D.
Location Address200 JEFFERSON AVE SE, 9TH FLOORGrand Rapids, MI 49503-4502
Mailing Address1900 44th St SeKentwood, MI 49508-5008
Phone(616) 685-6501
Sole ProprietorNo
Enumeration DateMarch 21, 2006
Last NPPES UpdateJanuary 9, 2015
✔ NPI 1073572830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in MI · 4301059866
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
200 JEFFERSON AVE SE, Grand Rapids, MI 49503
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Other Identifiers 3

Medicare PINP17730001MI
Medicare UPING25945MI
Medicaid4764659MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kari Rose Formsma M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHARINE LIND THOMPSON PT
Physical Therapist
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-6264
ANNE MARIE TALBOT CRNA
Nurse Anesthetist, Certified Registered
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-6063
DR. ADAM MICHAEL ANDERSON MD
Emergency Medicine
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-5000
MARIA E DIMUSTO-POORTENGA MD
Pediatrics (Neonatal-Perinatal Medicine)
200 JEFFERSON AVE SE, NICU
GRAND RAPIDS, MI 49503
Kent County (616) 752-6554
THE BOUTIQUE AT MERCY HEALTH LACKS CANCER CENTER
Durable Medical Equipment & Medical Supplies
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-5030
MELISSA SUE HUDECZ MS, OTR/L
Occupational Therapist
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-6264
TIMOTHY RUSSELL LEONARD
Nurse Practitioner (Family)
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 465-5910
CAMRIA RENEE DEATON BSN, RN
Registered Nurse
200 JEFFERSON AVE SE
GRAND RAPIDS, MI 49503
Kent County (616) 685-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kari Formsma's NPI number?

The NPI number for Kari Formsma is 1073572830. It was assigned to this individual provider in the NPPES registry on March 21, 2006.

Where is Kari Formsma located?

Kari Formsma practices at 200 Jefferson Ave SE 9th Floor, Grand Rapids, MI 49503. The listed phone number is (616) 685-6501.

What is Kari Formsma's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kari Formsma enrolled in Medicare?

Yes. Kari Formsma is registered in the Medicare PECOS enrollment system.

What insurance does Kari Formsma accept?

Health plans from McLaren Health Plan Community and Priority Health list Kari Formsma as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kari Formsma was last updated on January 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.