Individual provider Active NPI

Krystal Bryant, NP

  • Nurse Practitioner
  • Warren, MI
National Provider Identifier
1295212280
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704280108 Issued in MI
Practice address
31700 Van Dyke Ave Ste H
Warren, MI 48093-7949
Phone
(586) 445-2911
NPI assigned
Jul 23, 2018
Last updated
May 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704280108 MI
Nurse Practitioner 363L00000X 4704280108 MI Primary

Addresses

Primary practice location

31700 Van Dyke Ave Ste H
Warren, MI 48093-7949

Mailing address

3547 Timber Lane Dr
Jackson, MI 49203-3627
Phone (734) 837-1568

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
I20191015000542 MI Practitioner - Nurse Practitioner 9032419254 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Right Health, PCGroup PAC ID 0244659092, 18 clinicians
Coremed Consultants of Michigan PLLCGroup PAC ID 4789186396, 3 clinicians

Practice addresses (Care Compare)

1950 E Wattles Rd
Suite 110
Troy, MI 48085-5099
Phone (248) 453-9883

2900 Collins Rd
Suite 6
Lansing, MI 48910-8394
Phone (517) 975-7500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mi Pacs 2 PC CurrentSince Apr 28, 2025 Accepting new patients
Coremed Consultants of Michigan PLLC CurrentSince Dec 1, 2025 Accepting new patients
Right Health PC Nurse Practitioner CurrentSince Jun 1, 2025 Accepting new patients
Right Health PC Nurse Practitioner CurrentSince Jun 1, 2025 Accepting new patients
Michigan Post-Acute Medical Services 1 PC CurrentSince Apr 28, 2025 Accepting new patients
CS Pacs 3 Midwest LLC CurrentSince Apr 28, 2025 Accepting new patients
Harmony Medical Group PLLC PastSince Dec 1, 2025 Accepting new patients
Priti Bhardwaj MD PC Past Accepting new patients

Locations

22600 W Main St
Armada, MI 48005
Phone (734) 508-4569

3512 Coolidge Rd
Unit A
East Lansing, MI 48823
Phone (517) 318-5889

12200 Broadbent Rd
Lansing, MI 48917
Phone (517) 731-6200

2900 Collins Rd
Unit B
Lansing, MI 48910
Phone (517) 975-7500

3310 W Commerce Rd
Milford, MI 48380
Phone (248) 685-1400

555 Highland Ave
Milford, MI 48381
Phone (248) 684-1564

25500 Meadowbrook Rd
Ste 208
Novi, MI 48375
Phone (248) 200-9240

1950 E Wattles Rd
Ste 110
Troy, MI 48085
Phone (248) 453-9883

13251 E 10 Mile Rd
Warren, MI 48089
Phone (586) 742-9200

6827 Whitehall Rd
Whitehall, MI 49461
Phone (231) 893-8730

625 36th St SW
Wyoming, MI 49509
Phone (517) 481-3715

Interoperability endpoints

  • Direct secure messaging: kbryant547373@direct.hfhs.org

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1295212280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3547 TIMBER LANE DR",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033627",
            "telephone_number": "734-837-1568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31700 VAN DYKE AVE STE H",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480937949",
            "telephone_number": "586-445-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "KRYSTAL",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-23",
        "last_updated": "2022-05-02",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704280108",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704280108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.