Individual provider Active NPI

Kendel Wiercinski

  • Family Nurse Practitioner
  • Wayland, MI
National Provider Identifier
1487546750
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704360129 Issued in MI
Practice address
12851 W M 179 Hwy
Wayland, MI 49348-9318
Phone
(877) 377-7322
NPI assigned
Jul 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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 4704360129 MI Primary

Addresses

Primary practice location

12851 W M 179 Hwy
Wayland, MI 49348-9318

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kwiercinski3392559@epic00.corewelldirect.org
FHIR URL https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/

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
I20251021003567 MI Practitioner - Nurse Practitioner 2062900160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pennock HospitalGroup PAC ID 4587551015, 79 clinicians

Practice addresses (Care Compare)

12851 W M 179 Hwy
Corewell Health Pennock Hospital
Wayland, MI 49348-9318
Phone (877) 377-7322

Hospital & facility affiliations

  • Corewell Health Pennock Hospital Hospital, Hastings, MI, CCN 231339

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704360129MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pennock Hospital Family CurrentSince Oct 1, 2025 Accepting new patients
Pennock Hospital CurrentSince Oct 1, 2025 Accepting new patients

Locations

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

1005 W Green St
Ste 300
Hastings, MI 49058
Phone (269) 948-8411

12851 W M 179 Hwy
Wayland, MI 49348
Phone (877) 377-7322

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 and National Provider Directory roles.

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": "1752883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1487546750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12851 W M 179 HWY",
            "city": "WAYLAND",
            "state": "MI",
            "postal_code": "493489318",
            "telephone_number": "877-377-7322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIERCINSKI",
        "first_name": "KENDEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-19",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704360129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwiercinski3392559@epic00.corewelldirect.org",
            "affiliation": "N",
            "address_1": "12851 W M 179 Hwy",
            "city": "Wayland",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493489318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "12851 W M 179 Hwy",
            "city": "Wayland",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493489318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wayland, MI

Sources for this page

Verify at the official NPI Registry.