Individual provider Active NPI

Kristine Treston Kowalewsky, NP-C

  • Family Nurse Practitioner
  • Cadillac, MI
National Provider Identifier
1063135432
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704338235 Issued in MI
Practice address
9065 34TH Rd
Cadillac, MI 49601
Phone
(231) 577-5017
NPI assigned
Sep 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704338235 MI Primary

Addresses

Primary practice location

9065 34TH Rd
Cadillac, MI 49601

Mailing address

2360 Barbeau Dr
Traverse City, MI 49696-8940
Phone (810) 923-7595

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221005002669 MI Practitioner - Nurse Practitioner 1951787563 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pic Indiana PCGroup PAC ID 3476790239, 143 clinicians

Practice addresses (Care Compare)

25 Columbia Ave E
Battle Creek, MI 49015-3703
Phone (269) 425-3017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pic Indiana PC CurrentSince May 1, 2025 Accepting new patients
Hometown Urgent Care of Michigan, P.C. CurrentSince Oct 24, 2022 Accepting new patients
Hometown Urgent Care of Michigan, PC CurrentSince Oct 24, 2022 Accepting new patients
Hometown Urgent Care of Michigan, P.C. Current Accepting new patients
Physicians Immediate Care LTD Past Accepting new patients

Locations

1131 M 32 W
Alpena, MI 49707
Phone (989) 250-1925

25 Columbia Ave E
Battle Creek, MI 49015
Phone (269) 425-3017

9065 E 34 Rd
Cadillac, MI 49601
Phone (231) 577-5017

1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835

3570 N US 31 S
Traverse City, MI 49684
Phone (231) 486-2573

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1063135432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2360 BARBEAU DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496968940",
            "telephone_number": "810-923-7595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9065 34TH RD",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "49601",
            "telephone_number": "231-577-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALEWSKY",
        "first_name": "KRISTINE",
        "middle_name": "TRESTON",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704338235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadillac, MI

Sources for this page

Verify at the official NPI Registry.