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

Mrs. Kristin Marie Rettig

Individual provider Family Nurse Practitioner · NPI 1962108902

Mrs. Kristin Marie Rettig is a Nurse Practitioner in Grand Rapids, Michigan. Qualified in 2023, 3 years ago. Practices with Senior Resources of West Michigan, a 7-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2023
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

350 Lafayette Ave SE Ste 301
Grand Rapids, MI 49503
Phone: (616) 459-0801
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704310215 (MI)

Record details

NPI number1962108902
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 1, 2023
Last updated in NPPESFebruary 9, 2024
Certification dateFebruary 1, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Senior Resources Of West Michigan — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Grand Rapids