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

Kristen M Wagner, DO

Individual provider Family Medicine Physician · NPI 1598017048

Kristen M Wagner, DO is a Family Practice in Fruitport, Michigan. Graduated from University of New England, College of Osteo Medicine in 2012, 14 years ago. Practices with Mrh Corp, a 35-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
14
Trained at
University of New England, College of Osteo Medicine
Licensed in
MI
In the registry since
2012
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

3443 Farr Rd
Fruitport, MI 49415-8779
Phone: (231) 672-2900
Fax: (231) 672-2901
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 5101020125 (MI)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 5101020125 (MI)

Record details

NPI number1598017048
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedOctober 9, 2012
Last updated in NPPESDecember 23, 2020
Certification dateDecember 23, 2020
Mailing address1675 Leahy St, Suite 315a, Muskegon, MI 49442-5500

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Graduated 2012 (14 years in practice)
Group practice Mrh Corp — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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