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KATHERINE DEFOUW
NPI 1467869859
Nurse Practitioner in Grand Rapids, MI

Active since July 17, 2014PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
230 MICHIGAN ST NE, SUITE 230, GRAND RAPIDS, MI 49503(616) 774-2822(616) 391-8665 Get Directions Write a Review

NPPES record last updated: March 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Katherine Defouw NPPES

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

KATHERINE DEFOUW (NPI 1467869859) is an individual nurse practitioner in Grand Rapids, Michigan, licensed in Michigan (4704251605) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health United Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1467869859
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKATHERINE DEFOUW
Location Address230 MICHIGAN ST NE, SUITE 230Grand Rapids, MI 49503-2550
Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560
Phone(616) 774-2822
Fax(616) 391-8665
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 17, 2014
Last NPPES UpdateMarch 2, 2021
NPPES CertifiedMarch 2, 2021
✔ NPI 1467869859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704251605
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
230 MICHIGAN ST NE, Grand Rapids, MI 49503
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Katherine Defouw 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 ID1759508021
PECOS Enrollment IDI20140811000078
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
88 services72 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
60 services52 patients
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.
21 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Spectrum Health United Hospital

Acute Care Hospitals · Greenville, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230035
Location615 S Bower StreetGreenville, MI 48838 · Montcalm County
Birthing friendly

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

Corewell Health Ludington Hospital

Acute Care Hospitals · Ludington, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230110
LocationOne N Atkinson DriveLudington, MI 49431 · Mason County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

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.

JOANN ELIZABETH BAAR FNP
Nurse Practitioner (Family)
230 MICHIGAN ST NE, SUITE 230
GRAND RAPIDS, MI 49503
Kent County (616) 774-2822
GORDANA SIMEUNOVIC M.D.
Internal Medicine (Infectious Disease)
230 MICHIGAN ST NE, SUITE 230
GRAND RAPIDS, MI 49503
Kent County (616) 774-2822
BC PRICE PROFESSIONAL SERVICES LLC
Social Worker (Clinical)
230 MICHIGAN ST NE, STE# 102
GRAND RAPIDS, MI 49503
Kent County (616) 540-7089
AZIZULLAH KHAN MD
Internal Medicine (Infectious Disease)
230 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Kent County (616) 774-2822
MIMI EMIG M.D.
Internal Medicine (Infectious Disease)
230 MICHIGAN ST NE, SUITE 230
GRAND RAPIDS, MI 49503
Kent County (616) 774-2822
DR. PATRICIA REILLY LAGRAND MD
Internal Medicine
230 MICHIGAN ST NE, STE 102
GRAND RAPIDS, MI 49503
Kent County (616) 971-0060
VALERI A. RUSCO PAC
Physician Assistant (Surgical)
230 MICHIGAN ST NE, SUITE 300
GRAND RAPIDS, MI 49503
Kent County (616) 459-7101
MR. THOMAS SZCZYTKO CP
Prosthetist
230 MICHIGAN ST NE, STE 200
GRAND RAPIDS, MI 49503
Kent County (616) 459-7101

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 Katherine Defouw's NPI number?

The NPI number for Katherine Defouw is 1467869859. It was assigned to this individual provider in the NPPES registry on July 17, 2014.

Where is Katherine Defouw located?

Katherine Defouw practices at 230 Michigan St NE Suite 230, Grand Rapids, MI 49503. The listed phone number is (616) 774-2822.

What is Katherine Defouw's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Katherine Defouw enrolled in Medicare?

Yes. Katherine Defouw 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 Katherine Defouw accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, McLaren Health Plan Community and Priority Health list Katherine Defouw 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 Katherine Defouw affiliated with any hospitals?

According to CMS data, Katherine Defouw is affiliated with Spectrum Health United Hospital, Spectrum Health and Corewell Health Ludington Hospital.

When was this NPI record last updated?

The NPPES record for Katherine Defouw was last updated on March 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.