Individual provider Active NPI

Gwendolyn Kurtz-Stenger, NP

  • Gerontology Nurse Practitioner
  • Farmington Hills, MI
National Provider Identifier
1538528104
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
4704216263 Issued in MI
Practice address
32605 W 12 Mile Rd Ste 195
Farmington Hills, MI 48334-3390
Phone
(313) 306-2023
NPI assigned
Feb 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 4704216263 MI
Adult Health Nurse Practitioner 363LA2200X 4704216263 MI
Gerontology Nurse Practitioner 363LG0600X 4704216263 MI Primary

Addresses

Primary practice location

32605 W 12 Mile Rd Ste 195
Farmington Hills, MI 48334-3390

Mailing address

77 Monroe Cente St. NW
Grand Rapids, MI 49503
Phone (269) 716-6606

Other practice location 1

3587 12th St
Wayland, MI 49348-9569
Phone (616) 888-5800

Other identifiers 2

IdentifierTypeStateIssuer
1538528104MedicaidMI
13898534OtherCAQH

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
I20160915001382 MI Practitioner - Nurse Practitioner 3678869708 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians
Complexcare Medical Group Midwest H PLLCGroup PAC ID 0143737148, 128 clinicians

Practice addresses (Care Compare)

441 E Main St
Centreville, MI 49032-9626
Phone (269) 467-9575

55378 Wilbur Rd
Three Rivers, MI 49093-8815
Phone (269) 279-7441

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704216263MIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complexcare Medical Group Midwest H PLLC CurrentSince Sep 6, 2025 Accepting new patients
Theoria Medical CurrentSince May 12, 2025 Accepting new patients
Complexcare Medical Group Midwest M PLLC Past Accepting new patients

Locations

441 E Main St
Centreville, MI 49032
Phone (269) 467-9575

6700 W Outer Dr
Detroit, MI 48235
Phone (313) 836-1700

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

55378 Wilbur Rd
Three Rivers, MI 49093
Phone (269) 279-7441

517 S Erie St
Three Rivers, MI 49093
Phone (269) 273-8661

Interoperability endpoints

  • Direct secure messaging: gstenger@landmarkhealth-direct.org

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1538528104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 MONROE CENTE ST. NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49503",
            "telephone_number": "269-716-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32605 W 12 MILE RD STE 195",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343390",
            "telephone_number": "313-306-2023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3587 12th St",
            "address_purpose": "LOCATION",
            "city": "Wayland",
            "state": "MI",
            "postal_code": "493489569",
            "country_code": "US",
            "telephone_number": "616-888-5800",
            "fax_number": "269-397-1322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KURTZ-STENGER",
        "first_name": "GWENDOLYN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-11",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "MI",
            "license": "4704216263",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704216263",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704216263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538528104",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13898534",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.