Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kirsten M Johantgen, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1285736371

Kirsten M Johantgen, MD is an Obstetrics/Gynecology in Portage, Michigan. Graduated from Michigan State University College of Human Medicine in 1989, 37 years ago. Practices with Ascension Medical Group Promed, a 255-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
37
Trained at
Michigan State University College of Human Medicine
Licensed in
MI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7895 Currier Dr
Portage, MI 49002-4314
Phone: (269) 321-7080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 4301054491 (MI)

Record details

NPI number1285736371
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 1, 2006
Last updated in NPPESDecember 8, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 1989 (37 years in practice)
Group practice Ascension Medical Group Promed — 255 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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