Individual provider Active NPI

Joseph Anthony Nuncio, AGNP, NP-C

  • Primary Care Nurse Practitioner
  • Kalamazoo, MI
National Provider Identifier
1316411333
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
4704264632 Issued in MI
Practice address
629 Pioneer St
Kalamazoo, MI 49008
Phone
(269) 888-9012
Fax
(269) 381-2437
NPI assigned
Jan 12, 2019
Last updated
Feb 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 4704264632 MI Primary

Addresses

Primary practice location

629 Pioneer St
Kalamazoo, MI 49008

Mailing address

11151 Higley Cir W
Schoolcraft, MI 49087-8468
Phone (989) 274-0017

Other practice location 1

629 Pioneer St
Kalamazoo, MI 49008
Phone (269) 888-9012

Other practice location 2

251 N Rose St Ste 200
Kalamazoo, MI 49007-3860
Phone (866) 949-0108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
4704264632MIMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan State University Kalamazoo Center for Medical Studies Past Accepting new patients
Community AIDS Resource and Education Services of Southwest Michigan PastSince May 10, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jnuncio@landmarkhealth-direct.org
  • Direct secure messaging: jnuncio18635@carelonhealth.direct-ci.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1547251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645056000000",
    "number": "1316411333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11151 HIGLEY CIR W",
            "city": "SCHOOLCRAFT",
            "state": "MI",
            "postal_code": "490878468",
            "telephone_number": "989-274-0017",
            "fax_number": "888-483-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 PIONEER ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "49008",
            "telephone_number": "269-888-9012",
            "fax_number": "269-381-2437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "629 Pioneer St",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "49008",
            "country_code": "US",
            "telephone_number": "269-888-9012",
            "fax_number": "269-381-2437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "251 N Rose St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490073860",
            "country_code": "US",
            "telephone_number": "866-949-0108",
            "fax_number": "901-427-7636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUNCIO",
        "first_name": "JOSEPH",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "AGNP, NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-12",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704264632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.