Jack Kooienga, APRN
NPI 1518216308 · Acute Care Nurse Practitioner · Wyoming, MI
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jack Kooienga, APRN is a Acute Care Nurse Practitioner provider in Wyoming, MI (NPI 1518216308).
Provider details
- NPI number
- 1518216308
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- No
- License
- 4704218318 (MI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 601 E Rollins StOrlando, FL 32803-1248Phone: (407) 303-7283Fax: (407) 303-0347
Registry dates
- Enumerated
- 2012-09-07
- Last updated
- 2021-08-09
- Certified
- 2021-08-09
Frequently asked questions
- What is Jack Kooienga's NPI number?
- Jack Kooienga's National Provider Identifier (NPI) is 1518216308, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Kooienga's specialty?
- Jack Kooienga is listed in the NPPES registry with a primary specialty of Acute Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jack Kooienga located?
- Jack Kooienga's practice location on file with NPPES is 5900 Byron Center Ave Sw, Wyoming, MI 49519-9606.
- What is Jack Kooienga's phone number?
- The practice phone number listed in the NPPES registry for Jack Kooienga is (616) 252-7200.
- Does Jack Kooienga accept Medicare?
- Jack Kooienga is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jack Kooienga's NPI active?
- Yes — Jack Kooienga's NPI (1518216308) is active in the NPPES registry as of the last update on 2021-08-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.