Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790678068 Individual Practitioner Female Practitioner

Kristine Willis

Licensed Practical Nurse • Marquette, MI

Professional Overview & Biography Verified Profile Summary

Kristine Willis is a registered healthcare professional specializing in Licensed Practical Nurse in Marquette, MI. Practice services are available at 241 WRIGHT ST BLDG 1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

241 Wright St Bldg 1

Marquette, MI 498551955

Telephone 9062286545
Associated Practice Facility / Clinic
🏢 Great Lakes Recovery Centers Facility NPI 1578545141

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Marquette, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
12 Specialists

Practicing in Marquette, MI (4550 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-03
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License MI 4703085449

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Secondary Practice Locations

241 Wright St

Marquette, MI 498551955

Phone: 9062287611

100 Malton Rd Ste 6

Negaunee, MI 498662002

Phone: 9064852347

100 Malton Rd Ste 1

Negaunee, MI 498662002

Phone: 9064514889

104 Malton Rd

Negaunee, MI 498662000

Phone: 9062284692

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
Amy Vanderberg

Counselor - Addiction (Substance Use Disorder)

NPI 1104562941
Emily Miller , MSW

Counselor - Addiction (Substance Use Disorder)

NPI 1184183691

Master of Social Work

Autumn Enright

Counselor - Addiction (Substance Use Disorder)

NPI 1184488504
Amy Frieden

Social Worker - Clinical

NPI 1205695152
NPI 1235506924
Josephine Hedglen

Counselor - Addiction (Substance Use Disorder)

NPI 1245735323

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 03, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location June 03, 2025

Registered at 241 WRIGHT ST BLDG 1, MARQUETTE, MI 498551955 (Tel: 9062286545)

📍
Updated Business Mailing Address June 03, 2025

Registered at 100 MALTON RD, NEGAUNEE, MI 498662001 (Tel: 9062289699)

👤
Provider Name / Credentials Updated June 03, 2025

Recorded as KRISTINE WILLIS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2025

Licensed Practical Nurse (License #4703085449 in MI)

🟢
Initial NPI Registration & Enumeration June 03, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790678068
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2025
Last Update: June 03, 2025
Sole Proprietor: No

Mailing Address

100 Malton Rd

Negaunee, MI 498662001

Phone: 9062289699

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.