KRISTA JOY HILLMAN DO
NPI 1265749451
Family Medicine in Norton Shores, MI

Active since September 09, 2010PECOS EnrolledAccepts Medicare Assignment
6401 PRAIRIE ST STE 2600, NORTON SHORES, MI 49444(231) 727-7900(231) 727-7914 Get Directions Write a Review

NPPES record last updated: December 2, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Krista Joy Hillman Do NPPES

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

KRISTA JOY HILLMAN DO (NPI 1265749451) is an individual family medicine provider in Norton Shores, Michigan, licensed in Michigan (5101018734) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Michigan State University College Of Osteopathic Medicine (2010).

NPPES Registry Identity

NPI1265749451
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKRISTA JOY HILLMANCredential: DO
Location Address6401 PRAIRIE ST STE 2600Norton Shores, MI 49444-7842
Mailing AddressPo Box 1848Muskegon, MI 49443-1848 · (231) 727-4444 · Fax (231) 728-4789
Fax(231) 727-7914
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2010
Enumeration DateSeptember 9, 2010
Last NPPES UpdateDecember 2, 2013
NPI 1265749451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 5101018734
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6401 PRAIRIE ST STE 2600, Norton Shores, MI 49444

Other Identifiers 1

OtherN28430102MI · Medicare Ptan

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Krista Joy Hillman Do 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.

PECOS PAC ID446410872
PECOS Enrollment IDI20120322000281
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
127 services84 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
36 services36 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
26 services24 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Trinity Health Muskegon Hospital

Acute Care Hospitals · Muskegon, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230066
Location1500 E Sherman BlvdMuskegon, MI 49441 · Muskegon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49444 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers18 claims50 services$5.73 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$22.59 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

Family Medicine
6401 PRAIRIE ST STE 2600
NORTON SHORES, MI 49444
Family Medicine
6401 PRAIRIE ST STE 2600
NORTON SHORES, MI 49444
Physician Assistant
6401 PRAIRIE ST STE 2600
NORTON SHORES, MI 49444
Nurse Practitioner (Family)
6401 PRAIRIE ST STE 2600
NORTON SHORES, MI 49444
Physician Assistant
6401 PRAIRIE ST STE 2600
NORTON SHORES, MI 49444
Family Medicine
6401 PRAIRIE ST STE 2600
NORTON SHORES, MI 49444

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 Krista Hillman's NPI number?

The NPI number for Krista Hillman is 1265749451. It was assigned to this individual provider in the NPPES registry on September 9, 2010.

Where is Krista Hillman located?

Krista Hillman practices at 6401 Prairie St Ste 2600, Norton Shores, MI 49444. The listed phone number is (231) 727-7900.

What is Krista Hillman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Krista Hillman enrolled in Medicare?

Yes. Krista Hillman 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.

What insurance does Krista Hillman accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Krista Hillman 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.

Is Krista Hillman affiliated with any hospitals?

According to CMS data, Krista Hillman is affiliated with Spectrum Health and Trinity Health Muskegon Hospital.

When was this NPI record last updated?

The NPPES record for Krista Hillman was last updated on December 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.