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MRS. KATHLEEN THORN FNP-BC
NPI 1942815238
Nurse Practitioner - Family in Grand Rapids, MI

Active since September 13, 2020PECOS Enrolled
770 KENMOOR AVE SE STE 100, GRAND RAPIDS, MI 49546(616) 272-3533(616) 259-4839 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 11, 2024, Mar 16, 2023, Sep 13, 2020 (3 updates tracked since 2020).

About Mrs. Kathleen Thorn Fnp-bc NPPES

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

MRS. KATHLEEN THORN FNP-BC (NPI 1942815238) is an individual family provider in Grand Rapids, Michigan, licensed in Michigan (4704294760) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Waterford.

NPPES Registry Identity

NPI1942815238
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. KATHLEEN THORNCredential: FNP-BC
Location Address770 KENMOOR AVE SE STE 100Grand Rapids, MI 49546-8602
Mailing Address801 Rosehill RdJackson, MI 49202-1762 · (517) 488-4884 · Fax (517) 212-2009
Phone(616) 272-3533
Fax(616) 259-4839
Sole ProprietorYes
Enumeration DateSeptember 13, 2020
Last NPPES UpdateApril 11, 20243 updates tracked since enumeration
NPPES CertifiedApril 11, 2024
✔ NPI 1942815238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704294760
770 KENMOOR AVE SE STE 100, Grand Rapids, MI 49546
Open in Google Maps ↗

Secondary Practice Location 1

Location 15758 Cooley Lake RdWaterford, MI 48327-3073 · Phone (855) 466-3631 · Fax (810) 244-0226

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kathleen Thorn Fnp-bc 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kathleen Thorn reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Careconnectmd Michigan PC
129 mi
Geriatric Medicine
3200 GREENFIELD RD STE 300
Dearborn, MI 48120
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Careconnectmd Michigan P.C.
  • 56 clinicians in this Medicare group
NPI 1477288348 (888) 789-9585
Signify Health Medical Associates, PLLC
924 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Michigan enrollment
  • 666 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
12 services12 patients

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 20

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

GAVIN O'BRIEN
Physician Assistant
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Kent County (616) 272-3533
MRS. SARAH A THOMSEN FNP
Nurse Practitioner (Family)
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Kent County (616) 272-3533
BRITTANY J DEVRIES AGNP
Nurse Practitioner (Adult Health)
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Kent County (616) 272-3533
ERIN KUCHAREK A-GNP-C
Nurse Practitioner (Primary Care)
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Kent County (517) 212-2008
EMINA CELOVIC DNP
Nurse Practitioner (Adult Health)
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Kent County (616) 272-3533
SAMUEL TERRANOVA NP
Nurse Practitioner (Primary Care)
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Kent County (616) 272-3533
WILLIAM H DUKES MD
Family Medicine
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Kent County (616) 272-3533
MR. JEREMY RICHARD HERR MS, FNP, APNP
Nurse Practitioner (Family)
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Kent County (616) 272-3533

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 Kathleen Thorn's NPI number?

The NPI number for Kathleen Thorn is 1942815238. It was assigned to this individual provider in the NPPES registry on September 13, 2020.

Where is Kathleen Thorn located?

Kathleen Thorn practices at 770 Kenmoor Ave SE Ste 100, Grand Rapids, MI 49546. The listed phone number is (616) 272-3533.

What is Kathleen Thorn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kathleen Thorn enrolled in Medicare?

Yes. Kathleen Thorn is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kathleen Thorn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Thorn reassigns Medicare benefits to 2 organizations: Careconnectmd Michigan PC (Dearborn, MI) and Signify Health Medical Associates, PLLC (Dallas, TX). Each 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 Kathleen Thorn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathleen Thorn accept?

Health plans from CareSource and CareSource (Common Ground Healthcare) list Kathleen Thorn 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 Kathleen Thorn was last updated on April 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.