Kristen Grace Bryer, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Madison Heights, MI
NPI 1376160341 · NPPES record last updated Jul 19, 2022
Key facts
- NPI
- 1376160341
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704307170 (MI)
- Practice address
- 350 E 12 Mile Rd
Madison Heights, MI 48071-2531 - Phone
- (248) 206-3797
- NPI assigned
- Jun 25, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Oakland Univ, William Beaumont School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellstreet Urgent Care of Michigan
Practice addresses (Care Compare)
25631 Little Mack Ave
Suite 104
Saint Clair Shores, MI 48081-2100
Phone (586) 884-2727
Hospital & facility affiliations
- Beaumont Hospital - Grosse Pointe
- Beaumont Hospital Royal Oak
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.04 of 100
- Quality
- 67.93
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 52.21
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200903003667 | MI | Practitioner - Nurse Practitioner | 9830516848 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704307170 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oakland Infectious Disease Associates PC | Current |
Accepting new patients | |
| Wellstreet Urgent Care of Michigan | Current |
Accepting new patients | |
| Wellstreet Urgent Care of Michigan | Past |
Accepting new patients | |
| Hazimeh Primary Care PLLC | Past | Accepting new patients |
Locations
43700 Woodward Ave
Ste 103
Bloomfld Hls, MI 48302
Phone (248) 332-4629
25631 Little Mack Ave
Ste 104
St Clr Shores, MI 48081
Phone (586) 884-2727
2078 E Big Beaver Rd
Troy, MI 48083
Phone (248) 855-4134
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704307170 | MI | Yes |
Addresses
Primary practice location
350 E 12 Mile Rd
Madison Heights, MI 48071-2531
Mailing address
350 E 12 Mile Rd
Madison Heights, MI 48071-2531
Other providers in Madison Heights, MI
- Amanda Briskey
- Benjamin A Brod
- Hailey Marie Brooks
- Jordan Brown
- Sharita Brown
- Linda Bubenko
- Helena Bulka
- Rana Raad Burek
- Bradford Wayne Burgess
- Jackilyn Burkeen
All providers in Madison Heights, MI · Family Nurse Practitioner in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.