Individual provider Active NPI

Kristen Grace Bryer, FNP-C

  • Family Nurse Practitioner
  • Madison Heights, MI
National Provider Identifier
1376160341
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704307170 Issued in MI
Practice address
350 E 12 Mile Rd
Madison Heights, MI 48071-2531
Phone
(248) 206-3797
NPI assigned
Jun 25, 2020
Last updated
Jul 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 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 4704307170 MI Primary

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

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
I20200903003667 MI Practitioner - Nurse Practitioner 9830516848 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 MichiganGroup PAC ID 6305188491, 129 clinicians

Practice addresses (Care Compare)

25631 Little Mack Ave
Suite 104
Saint Clair Shores, MI 48081-2100
Phone (586) 884-2727

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.04 of 100Reported as group
Quality
67.93
Promoting interoperability
100
Improvement activities
40
Cost
52.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704307170MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oakland Infectious Disease Associates PC CurrentSince May 16, 2021 Accepting new patients
Wellstreet Urgent Care of Michigan CurrentSince Jun 28, 2022 Accepting new patients
Hazimeh Primary Care PLLC Past Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 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

Organizations & group practices 4

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 4

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": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1376160341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 E 12 MILE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E 12 MILE RD",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712531",
            "telephone_number": "248-206-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYER",
        "first_name": "KRISTEN",
        "middle_name": "GRACE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-25",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704307170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

Verify at the official NPI Registry.