IndividualActive
Jennifer Nauta, RN, CCM, ONC
NPI 1366992612 · Case Management Registered Nurse · Grand Rapids, MI
Provider details
- NPI number
- 1366992612
- Entity type
- Individual
- Primary specialty
- Case Management Registered NurseNursing Service Providers
- Credential
- RN, CCM, ONC
- Sex
- Female
- Sole proprietor
- No
- License
- 4704210377 (MI)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1111 Leffingwell Ave Ne
Grand Rapids, MI 49525-6406
Phone: (616) 459-7101
Fax: (616) 464-6170
Street-level locationGet directions
Mailing address
1111 Leffingwell Ave Ne
Grand Rapids, MI 49525-6406
Registry dates
- Enumerated
- 2016-10-11
- Last updated
- 2016-10-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.