Mr. Jack A Kooienga is a Wyoming, Michigan based nurse practitioner with 22 years of experience in Critical Care Medicine. He completed his graduation in 2003. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Jack A Kooienga is APRN11012762 for Acute Care in Florida. His current practice location is 5900 Byron Center Ave Sw, Wyoming. Patients can reach him at 616-252-7200 or can fax him at 616-252-7830. Mr. Jack A Kooienga is APRN with specialization in Critical Care Medicine and his NPI number (Unique professional ID assigned by NPPES) is 1518216308. Mr. Jack A Kooienga provides advanced nursing care to patients who are critically ill and plays a vital role in the critical care team. He deliver care to patients in the acute care setting and typically work in intensive care units (ICUs). Critical Care Nurse Practitioner (NPCC) acts quickly and works well under stress and pressure. The critical care NP works with the interdisciplinary team to ensure all the needs of the critical care patient are met, and they receive the best care possible.
Complete Profile:
Mr. Jack A Kooienga speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Mr. Jack A Kooienga
Specialization:
Critical Care Medicine Nurse Practitioner (NPCC)
Gender:
Male
Credentials:
APRN
Experience:
22+ years
Medical School Attended:
Other
Graduation Year:
2003
Accepts Medicare Assignment:
Yes
Practice Address:
5900 Byron Center Ave Sw, Wyoming, Michigan, 49519-9606
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
6406000876
Enrollment ID:
I20210602003183
NPI Number:
1518216308
NPI Enumeration Date:
07 Sep, 2012
NPI Last Update On:
09 Aug, 2021
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Jack A Kooienga are as mentioned below.
License Number
Specialization
State
Status
APRN11012762
Acute Care
Florida
Primary
4704218318
Critical Care Medicine
Michigan
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(100137)
Davenport, FL
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mr. Jack A Kooienga is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Florida Hospital Medical Group Inc (0749186153)
1016
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Jack A Kooienga such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
110773300
Medicaid
Florida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mr. Jack A Kooienga 985 Gezon Pkwy Sw, Wyoming, Michigan
Zip:
49509-9563
Phone Number:
616-252-4655
Fax Number:
616-252-0103
Patients can reach Mr. Jack A Kooienga at 5900 Byron Center Ave Sw, Wyoming, Michigan or can call to book an appointment on 616-252-7200.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.