Keith Hustak, PA-C
NPI 1720149164 · Physician Assistant · Grand Rapids, MI
Keith Hustak, PA-C is a Physician Assistant provider in Grand Rapids, MI (NPI 1720149164).
Provider details
- NPI number
- 1720149164
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 5601004306 (MI)
Specialties & taxonomies
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
19 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
Mailing address
Registry dates
- Enumerated
- 2006-12-12
- Last updated
- 2015-11-30
Frequently asked questions
- What is Keith Hustak's NPI number?
- Keith Hustak's National Provider Identifier (NPI) is 1720149164, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keith Hustak's specialty?
- Keith Hustak is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Keith Hustak located?
- Keith Hustak's practice location on file with NPPES is 100 Michigan St Ne, Grand Rapids, MI 49503-2560.
- What is Keith Hustak's phone number?
- The practice phone number listed in the NPPES registry for Keith Hustak is (616) 486-2196.
- Is Keith Hustak's NPI active?
- Yes — Keith Hustak's NPI (1720149164) is active in the NPPES registry as of the last update on 2015-11-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.