KRISTINE A KOETJE MA LPC LLP
NPI 1164595526
Counselor in Spring Lake, MI
About Kristine A Koetje Ma Lpc Llp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTINE A KOETJE MA LPC LLP (NPI 1164595526) is an individual counselor in Spring Lake, Michigan, licensed in Michigan (6401002021) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1991).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kristine A Koetje Ma Lpc Llp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Kristine Koetje reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Spring Lake, MI 49456
- Reassigned Medicare billing, Michigan enrollment
- 33 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
SPRING LAKE, MI 49456
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 Kristine Koetje's NPI number?
The NPI number for Kristine Koetje is 1164595526. It was assigned to this individual provider in the NPPES registry on November 15, 2006. The provider is also known as Kristine A Wilder Ma Lpc LLP.
Where is Kristine Koetje located?
Kristine Koetje practices at 17224 Van Wagoner Rd, Spring Lake, MI 49456. The listed phone number is (616) 296-2130.
What is Kristine Koetje's specialty?
The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.
Is Kristine Koetje enrolled in Medicare?
Yes. Kristine Koetje is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Kristine Koetje's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristine Koetje reassigns Medicare benefits to Kristine Koetje Ma, PC (Spring Lake, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristine Koetje's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kristine Koetje accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Kristine Koetje 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 Kristine Koetje was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Kristine A Koetje, MA LPC LLP · NPI 1164595526
Counselor provider in Spring Lake, Michigan. Individual provider, active in the CMS NPPES registry since November 15, 2006.
## Identity
- **NPI:** 1164595526 (Entity type: Individual)
- **Enumerated:** November 15, 2006
- **Primary specialty:** Counselor · taxonomy 101Y00000X
- **State license:** 6401002021 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 17224 VAN WAGONER RD, Spring Lake, MI 49456-9702
- **Phone:** (616) 296-2130 · **Fax:** (162) 962-1486
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Kristine Koetje Ma, PC (NPI 1316010770, Spring Lake, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1991
## Record status
- **NPPES last updated:** June 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1164595526) · Data from the CMS NPPES public registry.