Doctor profile · Federal record
Dr. Jack Kooienga, APRN
Acute Care Nurse Practitioner (CMS: Nurse Practitioner) · Critical Care Medicine Nurse Practitioner · Wyoming, MI
- NPI 1518216308
- Accepts Medicare
- MIPS 78.0 / 100 · 2023
- 23 yrs in practice
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
5900 Byron Center Ave Sw
Wyoming, MI 495199606
(616) 252-7200
fax (616) 252-7830 - Additional location
-
601 E Rollins St
Orlando, FL 328031248
(407) 303-7283
fax (407) 303-0347 - Mailing address
-
985 Gezon Pkwy Sw
Wyoming, MI 495099563
Credentials & registration
- NPI registered
- September 2012 — 14 yrs on file
- Profile last updated
- August 9, 2021
- Year of graduation
- 2003 — 23 yrs since
- Specialty taxonomy
- 363LA2100X — NUCC code
- State licenses (2)
- Florida #APRN11012762 · Michigan #4704218318
- Medicaid
- FL #110773300
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1518216308. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
23
Distinct HCPCS
1
Medicare allowed
$4,254
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99291 |
Critical care, first 30-74 minutes | 23 | 22 | $185 |
In context: peer comparison
Among 2 peers in Wyoming Acute Care Nurse Practitioner, average services per provider: 72. This provider delivers 0.3× the peer median.Hospital affiliations
Frequently asked questions
What is Dr. Jack Kooienga's medical specialty?
Dr. Jack Kooienga practices Acute Care Nurse Practitioner in Wyoming, MI.
Where does Dr. Jack Kooienga practice?
Dr. Jack Kooienga practices at 5900 Byron Center Ave Sw, Wyoming, MI 495199606. Office phone: 6162527200.
What is Dr. Jack Kooienga's NPI?
Dr. Jack Kooienga's National Provider Identifier (NPI) is 1518216308, issued by NPPES.
Does Dr. Jack Kooienga accept Medicare assignment?
Yes. Dr. Jack Kooienga accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jack Kooienga commonly perform?
Top Medicare-reported procedures in 2023: Critical care (HCPCS 99291). Source: CMS Medicare Physician & Other Practitioners file.