MRS. KATIE LOUISE CRELLIN
NPI 1467013425
Nurse Practitioner - Acute Care in Grand Rapids, MI

Q: What is Katie Crellin's NPI number?

The NPI number for Katie Crellin is 1467013425. It was assigned to this individual provider in the NPPES registry on June 21, 2019.

Q: What is Katie Crellin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Katie Crellin was last updated on June 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since June 21, 2019PECOS Enrolled

1000 E PARIS AVE SE STE 200, GRAND RAPIDS, MI 49546(616) 685-3450 Get Directions Write a Review

NPPES record last updated: June 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Katie Louise Crellin NPPES

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

MRS. KATIE LOUISE CRELLIN (NPI 1467013425) is an individual acute care provider in Grand Rapids, Michigan, licensed in Michigan (4704322754) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467013425

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMRS. KATIE LOUISE CRELLIN

Location Address1000 E PARIS AVE SE STE 200Grand Rapids, MI 49546-8383

Mailing Address1931 Michigan St NeGrand Rapids, MI 49503-2110 · (701) 590-1513

Phone(616) 685-3450

Sole ProprietorNo

Enumeration DateJune 21, 2019

✔ NPI 1467013425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in MI · 4704322754

1000 E PARIS AVE SE STE 200, Grand Rapids, MI 49546

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, Providence Health Plan.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)

Mrs. Katie Louise Crellin 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 49546 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.

DR. PETER BRADLEY WENN MD

Internal Medicine (Interventional Cardiology)