Active NPI
John Michael Schuitema
- Family Nurse Practitioner
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704345413
- Practice address
- 655 Kenmoor Ave SE Ste 200
Grand Rapids, MI 49546-8622 - Phone
- (616) 363-7690
- Fax
- (616) 942-8917
- NPI assigned
- Jan 19, 2023
- Last updated
- Oct 23, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704345413 | MI | Primary |
Addresses
Primary practice location
655 Kenmoor Ave SE Ste 200
Grand Rapids, MI 49546-8622
Mailing address
2658 Burgen CT NE
Grand Rapids, MI 49525-3979
Phone (231) 286-9168
Other practice location 1
2658 Burgen Ct NE
Grand Rapids, MI 49525-3979
Phone (231) 286-9168
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2373 64TH St SW
Mercy Health St Mary's Southwest
Byron Center, MI 49315-7974
Phone (616) 685-3900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704345413 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Internal Medicine and Pediatrics of West Michigan | Current | Accepting new patients | |
| Grand River Emergency Medical Group PLC | Family | Current | Accepting new patients |
| Dawm, PLC | Current | Accepting new patients |
Locations
2373 64th St SW
Byron Center, MI 49315
Phone (616) 685-1350
200 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 685-5000
655 Kenmoor Ave SE
Ste 200
Grand Rapids, MI 49546
Phone (616) 363-7690
Interoperability endpoints
- jschuitema28146@direct.trinity-health.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Grand Rapids, MI
- NPI 1114929353
Family
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1104170661
-
- Dermatology Physician
- Grand Rapids, MI
- NPI 1932132446
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Health Saint Mary's
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1639111057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698019200000",
"number": "1043925498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2658 BURGEN CT NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495253979",
"telephone_number": "231-286-9168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 KENMOOR AVE SE STE 200",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495468622",
"telephone_number": "616-363-7690",
"fax_number": "616-942-8917"
}
],
"practiceLocations": [
{
"address_1": "2658 Burgen Ct NE",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495253979",
"country_code": "US",
"telephone_number": "231-286-9168",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHUITEMA",
"first_name": "JOHN",
"middle_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-19",
"last_updated": "2023-10-23",
"certification_date": "2023-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704345413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.