Individual provider Active NPI

Kyle Kakuk, MSN, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Marquette, MI
National Provider Identifier
1508659509
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704270408 Issued in MI
Practice address
1025 W Washington St Ste a
Marquette, MI 49855-4031
Phone
(906) 239-5050
Fax
(906) 239-5055
NPI assigned
May 23, 2025
Last updated
Aug 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704270408 MI Primary

Addresses

Primary practice location

1025 W Washington St Ste a
Marquette, MI 49855-4031

Mailing address

1025 W Washington St Ste a
Marquette, MI 49855-4031
Phone (906) 239-5050

Other practice location 1

200 W Spring St
Marquette, MI 49855-4661
Phone (906) 225-1181

Other practice location 2

1025 W Washington St Ste C
Marquette, MI 49855-4031
Phone (906) 262-0071

Other names 1

  • Miss Kyle Richards Former name

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
I20250731000171 MI Practitioner - Nurse Practitioner 2062929235 Reassigns benefits to 2 organizations

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
Marquette Medical PLLCGroup PAC ID 7416300793, 8 clinicians
PathwaysGroup PAC ID 4284626391, 28 clinicians

Practice addresses (Care Compare)

1025 W Washington St a
Marquette Medical
Marquette, MI 49855-4031
Phone (906) 239-5050

200 W Spring St
Marquette, MI 49855-4661
Phone (906) 225-7210

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways CurrentSince Jul 22, 2025 Accepting new patients
Marquette Medical PLLC CurrentSince May 31, 2025 Accepting new patients
Marquette Medical Mindful Wellness PastSince May 25, 2025 Accepting new patients
Pathways Community Mental Health Past Accepting new patients
Caught Dreamin' Therapy, LLC PastSince Jan 7, 2024 Accepting new patients

Locations

2500 7th Ave S
Ste 100
Escanaba, MI 49829
Phone (906) 233-1322

1025 W Washington St
Ste A
Marquette, MI 49855
Phone (906) 239-5050

1025 W Washington St
Ste B
Marquette, MI 49855
Phone (906) 256-2951

1025 W Washington St
Ste C
Marquette, MI 49855
Phone (906) 262-0071

200 W Spring St
Marquette, MI 49855
Phone (906) 225-1181

2833 US Highway 41 W
Marquette, MI 49855

601 W Superior St
Munising, MI 49862
Phone (906) 387-3611

14126 County Road 428
Newberry, MI 49868
Phone (906) 233-1322

Organizations & group practices 5

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 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": "1747958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1508659509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 W WASHINGTON ST STE A",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554031",
            "telephone_number": "906-239-5050",
            "fax_number": "906-239-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 W WASHINGTON ST STE A",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554031",
            "telephone_number": "906-239-5050",
            "fax_number": "906-239-5055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 W Spring St",
            "address_purpose": "LOCATION",
            "city": "Marquette",
            "state": "MI",
            "postal_code": "498554661",
            "country_code": "US",
            "telephone_number": "906-225-1181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 W Washington St Ste C",
            "address_purpose": "LOCATION",
            "city": "Marquette",
            "state": "MI",
            "postal_code": "498554031",
            "country_code": "US",
            "telephone_number": "906-262-0071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAKUK",
        "first_name": "KYLE",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704270408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLE",
            "last_name": "RICHARDS",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marquette, MI

Sources for this page

Verify at the official NPI Registry.