Individual provider Active NPI

Jacqueline Curiston, FNP-C

  • Family Nurse Practitioner
  • Grand Rapids, MI
National Provider Identifier
1336779958
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704318301 Issued in MI
Practice address
3230 Eagle Park Dr NE Ste 101
Grand Rapids, MI 49525-7047
Phone
(616) 954-0600
NPI assigned
Jan 23, 2020
Last updated
May 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 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 4704318301 MI Primary

Addresses

Primary practice location

3230 Eagle Park Dr NE Ste 101
Grand Rapids, MI 49525-7047

Mailing address

PO Box 5450
Carol Stream, IL 60197-5450
Phone (616) 954-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH, MN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20200324002010 MI Practitioner - Nurse Practitioner 2264860345 Reassigns benefits to 1 organization
I20230503002383 OH Practitioner - Nurse Practitioner 2264860345 Reassigns benefits to 2 organizations
I20250130004157 MN Practitioner - Nurse Practitioner 2264860345 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Immunology Clinics PLLCGroup PAC ID 4486684438, 9 clinicians
Infusion Associates PLLCGroup PAC ID 0840185203, 18 clinicians
Id Consultants, IncGroup PAC ID 7012995574, 6 clinicians

Practice addresses (Care Compare)

15700 37TH Ave N
Suite 110
Plymouth, MN 55446-3399
Phone (763) 577-0008

3230 Eagle Park Dr NE
Suite 101
Grand Rapids, MI 49525-7047
Phone (616) 954-0600

3270 Washtenaw Ave
Ann Arbor, MI 48104-4250
Phone (855) 478-1528

3401 Enterprise Pkwy
Suite 110
Beachwood, OH 44122-7340
Phone (216) 360-0456

363 W Big Beaver Rd
Troy, MI 48084-5346
Phone (616) 954-0600

39475 Lewis Dr
Suite 140
Novi, MI 48377-2977
Phone (616) 954-0600

418 Munson Ave
Traverse City, MI 49686-3042
Phone (614) 954-0600

Merit-based Incentive Payment System (MIPS)

Final score
91.21 of 100Reported as group
Quality
88.24
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12243MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Id Consultants Inc CurrentSince Aug 1, 2024 Accepting new patients
Infusion Associates of Ohio LLC CurrentSince Apr 1, 2023 Accepting new patients
Midwest Immunology Clinics, PLLC CurrentSince Jan 1, 2025 Accepting new patients
Infusion Associates PLLC CurrentSince Jan 1, 2022 Accepting new patients
Id Consultants of Northeast Ohio, Inc PastSince Sep 1, 2021 Accepting new patients
Little People Urgent Care PLC PastSince Mar 1, 2016 Accepting new patients

Locations (25 of 30)

1726 Cole Blvd
Ste 250
Lakewood, CO 80401
Phone (303) 384-4064

250 W Eisenhower Pkwy
Ste 130
Ann Arbor, MI 48103

3270 Washtenaw Ave
Ann Arbor, MI 48104

43650 Garfield Rd
Ste 104
Clinton Township, MI 48038
Phone (313) 756-7990

44720 Hayes Rd
Ste 200
Clinton Township, MI 48038

830 W Lake Lansing Rd
East Lansing, MI 48823
Phone (517) 333-3777

830 W Lake Lansing Rd
Ste 150
East Lansing, MI 48823
Phone (517) 897-9200

1600 S Beacon Blvd
Grand Haven, MI 49417
Phone (614) 954-0600

1600 S Beacon Blvd
Ste 100
Grand Haven, MI 49417
Phone (614) 954-0600

3230 Eagle Park Dr NE
Ste 101
Grand Rapids, MI 49525

4343 Chicago Dr SW
Grandville, MI 49418

39475 Lewis Dr
Ste 140
Novi, MI 48377
Phone (248) 489-0766

1399 W Centre Ave
Portage, MI 49024
Phone (269) 615-1657

363 W Big Beaver Rd
Ste 125
Troy, MI 48084

363 W Big Beaver Rd
Ste 126
Troy, MI 48084
Phone (248) 220-5230

15655 37th Ave N
Ste 250
Plymouth, MN 55446
Phone (763) 316-0750

15655 37th Ave N
Ste 260
Plymouth, MN 55446
Phone (763) 316-0750

15700 37th Ave N
Ste 110
Plymouth, MN 55446
Phone (763) 577-0008

652 Bielenberg Dr
Ste 101
Woodbury, MN 55125
Phone (651) 867-1618

3401 Enterprise Pkwy
Ste 110
Beachwood, OH 44122
Phone (216) 245-6762

6640 Poe Ave
Ste 110
Dayton, OH 45414
Phone (937) 759-9906

150 Springside Dr
Ste 235B
Fairlawn, OH 44333
Phone (216) 360-9480

155 Lincoln Way W
Ste A109
Massillon, OH 44647
Phone (216) 488-1060

9381 Mentor Ave
Mentor, OH 44060
Phone (440) 890-4736

18100 Jefferson Park Rd
Ste 106
Middleburg Heights, OH 44130
Phone (216) 628-7050

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1336779958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5450",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601975450",
            "telephone_number": "616-954-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3230 EAGLE PARK DR NE STE 101",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495257047",
            "telephone_number": "616-954-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURISTON",
        "first_name": "JACQUELINE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704318301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.