DR. KIMBERLY BAIN MITCHAM D.O.
NPI 1457465155
Pediatrics in Hudsonville, MI

Active since August 18, 2006PECOS EnrolledAccepts Medicare Assignment
3152 PORT SHELDON ST STE C, HUDSONVILLE, MI 49426(616) 669-9238 Get Directions Write a Review

NPPES record last updated: March 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 1, 2022, Feb 18, 2021, Sep 3, 2019 and 2 more (5 updates tracked since 2016).

About Dr. Kimberly Bain Mitcham D.o. NPPES

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

DR. KIMBERLY BAIN MITCHAM D.O. (NPI 1457465155) is an individual pediatrics provider in Hudsonville, Michigan, licensed in Michigan (5101014563) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Osteopathic Medicine (2000).

NPPES Registry Identity

NPI1457465155
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KIMBERLY BAIN MITCHAMCredential: D.O.
Location Address3152 PORT SHELDON ST STE CHudsonville, MI 49426-9297
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2000
Enumeration DateAugust 18, 2006
Last NPPES UpdateMarch 1, 20225 updates tracked since enumeration
NPPES CertifiedMarch 1, 2022
NPI 1457465155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in MI · 5101014563
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3152 PORT SHELDON ST STE C, Hudsonville, MI 49426

Other Names 1

Former Name (1)Kimberly Amilia Bain

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

Dr. Kimberly Bain Mitcham D.o. 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 ID4284615527
PECOS Enrollment IDI20040525000220
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 49426 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.

Other Providers at the Same Location NPPES 9

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

Social Worker (Clinical)
3152 PORT SHELDON ST STE C
HUDSONVILLE, MI 49426
Social Worker (Clinical)
3152 PORT SHELDON ST STE C
HUDSONVILLE, MI 49426
Pediatrics
3152 PORT SHELDON ST STE C
HUDSONVILLE, MI 49426
Family Medicine
3152 PORT SHELDON ST STE C
HUDSONVILLE, MI 49426
Social Worker (Clinical)
3152 PORT SHELDON ST STE C
HUDSONVILLE, MI 49426
Physician Assistant
3152 PORT SHELDON ST STE C
HUDSONVILLE, MI 49426
Family Medicine
3152 PORT SHELDON ST STE C
HUDSONVILLE, MI 49426
Social Worker (Clinical)
3152 PORT SHELDON ST STE C
HUDSONVILLE, MI 49426

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 Kimberly Mitcham's NPI number?

The NPI number for Kimberly Mitcham is 1457465155. It was assigned to this individual provider in the NPPES registry on August 18, 2006. The provider is also known as Kimberly Amilia Bain.

Where is Kimberly Mitcham located?

Kimberly Mitcham practices at 3152 Port Sheldon St Ste C, Hudsonville, MI 49426. The listed phone number is (616) 669-9238.

What is Kimberly Mitcham's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kimberly Mitcham enrolled in Medicare?

Yes. Kimberly Mitcham 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 Kimberly Mitcham accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Kimberly Mitcham 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 Kimberly Mitcham was last updated on March 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.