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Jacqueline Custer
NPI 1558298083 · Family Medicine Physician · Grand Rapids, MI
Jacqueline Custer is a Family Medicine Physician provider in Grand Rapids, MI (NPI 1558298083).
Provider details
- NPI number
- 1558298083
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 5151017964 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
200 Jefferson Ave Se
Grand Rapids, MI 49503-4502
Phone: (616) 685-6922
Fax: (616) 685-5192
Street-level locationGet directions
Mailing address
200 Jefferson Ave Se
Grand Rapids, MI 49503-4502
Registry dates
- Enumerated
- 2026-05-07
- Last updated
- 2026-05-07
- Certified
- 2026-05-07
Frequently asked questions
- What is Jacqueline Custer's NPI number?
- Jacqueline Custer's National Provider Identifier (NPI) is 1558298083, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacqueline Custer's specialty?
- Jacqueline Custer is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jacqueline Custer located?
- Jacqueline Custer's practice location on file with NPPES is 200 Jefferson Ave Se, Grand Rapids, MI 49503-4502.
- What is Jacqueline Custer's phone number?
- The practice phone number listed in the NPPES registry for Jacqueline Custer is (616) 685-6922.
- Is Jacqueline Custer's NPI active?
- Yes — Jacqueline Custer's NPI (1558298083) is active in the NPPES registry as of the last update on 2026-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.