Individual provider

Kristen Massingill, AGNP-C, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner Adult Health Nurse Practitioner Medicare enrolled

Kristen Massingill, AGNP-C, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner in Detroit, MI, registered under NPI 1083290464. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 2111 WOODWARD AVE, Detroit, MI 48201. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

2111 WOODWARD AVE, Detroit, MI 48201 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
406783 NY Psychiatric/Mental Health Nurse… primary
APRN11035139 FL Adult Health Nurse Practitioner
C-APN.0104493-C-NP CO Psychiatric/Mental Health Nurse…
APRN11035139 FL Psychiatric/Mental Health Nurse…
RN333246 GA Adult Health Nurse Practitioner
RN333246 GA Psychiatric/Mental Health Nurse…
APRN.CNP.0028580 OH Adult Health Nurse Practitioner
312084 NY Adult Health Nurse Practitioner
4704299129 MI Adult Health Nurse Practitioner
APRN.CNP.0028580 OH Psychiatric/Mental Health Nurse…
26NJ15314800 NJ Psychiatric/Mental Health Nurse…
C-APN.0104493-C-NP CO Adult Health Nurse Practitioner
4704299129 MI Psychiatric/Mental Health Nurse…

Licences are recorded in 7 states: NY, FL, CO, GA, OH, MI, NJ. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
6901215466

Enrolled in Medicare 2 times, across 2 states:

StateEnrollment IDProvider type
Ohio I20210518000922 Practitioner - Nurse Practitioner
New York I20250612000656 Practitioner - Nurse Practitioner

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. There are 2 separate enrolment records across 2 states (OH, NY). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 7 states

This provider holds licences in 7 states: Colorado, Florida, Georgia, Michigan, New Jersey, New York and Ohio. The practice address on file is in Detroit, MI, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

CO Colorado
Licence
C-APN.0104493-C-NP
Specialty
Psychiatric/Mental Health Nurse…
Verify with the CO board →
FL Florida
Licence
APRN11035139
Specialty
Adult Health Nurse Practitioner
Verify with the FL board →
GA Georgia
Licence
RN333246
Specialty
Adult Health Nurse Practitioner
Verify with the GA board →
MI Michigan practice address
Licence
4704299129
Specialty
Adult Health Nurse Practitioner
Verify with the MI board →
NJ New Jersey
Licence
26NJ15314800
Specialty
Psychiatric/Mental Health Nurse…
Verify with the NJ board →
NY New York
Licence
406783
Specialty
Psychiatric/Mental Health Nurse…
Verify with the NY board →
OH Ohio
Licence
APRN.CNP.0028580
Specialty
Adult Health Nurse Practitioner
Verify with the OH board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Psychiatric/Mental Health covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LP0808X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Psychiatric/Mental Health

All registered taxonomy codes

This provider registers 13 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LP0808X Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health 406783 NY primary
363LA2200X Adult Health Nurse Practitioner Adult Health APRN11035139 FL
363LP0808X Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health C-APN.0104493-C-NP CO
363LP0808X Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health APRN11035139 FL
363LA2200X Adult Health Nurse Practitioner Adult Health RN333246 GA
363LP0808X Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health RN333246 GA
363LA2200X Adult Health Nurse Practitioner Adult Health APRN.CNP.0028580 OH
363LA2200X Adult Health Nurse Practitioner Adult Health 312084 NY
363LA2200X Adult Health Nurse Practitioner Adult Health 4704299129 MI
363LP0808X Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health APRN.CNP.0028580 OH
363LP0808X Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health 26NJ15314800 NJ
363LA2200X Adult Health Nurse Practitioner Adult Health C-APN.0104493-C-NP CO
363LP0808X Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health 4704299129 MI

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1083290464 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMar 24, 2021
Last updatedMar 2, 2026
StatusActive
Sole proprietorNo
CredentialAGNP-C, PMHNP-BC
Practice address 2111 WOODWARD AVE
Detroit, MI 48201
(313) 546-0900
Mailing address 238 EVANS GLEN TRL
Tipton, MI 49287
This record was updated on Mar 2, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1083290464 passes the NPI check digit test The final digit 4 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 0 8 3 2 9 0 4 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 0 7 3 4 9 0 4 3

Sum = 56 · next multiple of 10 = 60 · check digit = 4 · actual last digit = 4

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1083290464?
NPI 1083290464 is the National Provider Identifier assigned to Kristen Massingill, AGNP-C, PMHNP-BC in Detroit, MI. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Psychiatric/Mental Health cover?
Definition to come...
How do I contact Kristen Massingill, AGNP-C, PMHNP-BC?
The phone number on file with NPPES is (313) 546-0900, last updated Mar 2, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Kristen Massingill, AGNP-C, PMHNP-BC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1083290464 a valid number?
Yes. 1083290464 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.