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KARISSA LIBSON
NPI 1104670488
Student in an Organized Health Care Education/Training Program in Grand Rapids, MI

Active since April 15, 2024PECOS Enrolled
100 MICHIGAN ST NE STE A601, GRAND RAPIDS, MI 49503(616) 391-3570 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Karissa Libson NPPES

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

KARISSA LIBSON (NPI 1104670488) is an individual student in an organized health care education/training program in Grand Rapids, Michigan and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104670488
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKARISSA LIBSON
Location Address100 MICHIGAN ST NE STE A601Grand Rapids, MI 49503-2560
Mailing Address100 Michigan St Ne Ste A601Grand Rapids, MI 49503-2560
Phone(616) 391-3570
Sole ProprietorNo
Enumeration DateApril 15, 2024
NPPES CertifiedApril 14, 2024
✔ NPI 1104670488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
100 MICHIGAN ST NE STE A601, Grand Rapids, MI 49503
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karissa Libson 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.

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.

ERIN LOUISE MUELLER MD
Surgery
100 MICHIGAN ST NE STE A601
GRAND RAPIDS, MI 49503
Kent County (616) 391-6243
JOEL WALKER DEJONGE MD
Surgery
100 MICHIGAN ST NE STE A601
GRAND RAPIDS, MI 49503
Kent County (616) 391-6243
CHRISTOPHER VISSER DO
Surgery
100 MICHIGAN ST NE STE A601
GRAND RAPIDS, MI 49503
Kent County (616) 391-6243
CASSIDY LEIGH CLARK DO
Surgery
100 MICHIGAN ST NE STE A601
GRAND RAPIDS, MI 49503
Kent County (616) 391-6243
CLAIRE MARIETTA MCNARY MD
Surgery
100 MICHIGAN ST NE STE A601
GRAND RAPIDS, MI 49503
Kent County (616) 391-6243
VICTOR MAGANA CASTRO MD
Surgery
100 MICHIGAN ST NE STE A601
GRAND RAPIDS, MI 49503
Kent County (616) 391-6243
SAMAH ABDALLA MBBS
Radiology (Diagnostic Radiology)
100 MICHIGAN ST NE STE A601
GRAND RAPIDS, MI 49503
Kent County (616) 391-3777
DR. NORMAN JOSEPH BEAUCHAMP III MD
Student in an Organized Health Care Education/Training Program
100 MICHIGAN ST NE STE A601
GRAND RAPIDS, MI 49503
Kent County (616) 391-3570

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 Karissa Libson's NPI number?

The NPI number for Karissa Libson is 1104670488. It was assigned to this individual provider in the NPPES registry on April 15, 2024.

Where is Karissa Libson located?

Karissa Libson practices at 100 Michigan St NE Ste A601, Grand Rapids, MI 49503. The listed phone number is (616) 391-3570.

What is Karissa Libson's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Karissa Libson enrolled in Medicare?

Yes. Karissa Libson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Karissa Libson was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.