Individual provider Active NPI

Juliana Kishek

  • Nurse Practitioner
  • Rochester Hills, MI
National Provider Identifier
1558019778
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704312075 Issued in MI
Practice address
1701 South Blvd E Ste 320
Rochester Hills, MI 48307-6117
Phone
(248) 293-3345
Fax
(248) 293-3368
NPI assigned
Mar 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704312075 MI Primary
Gerontology Nurse Practitioner 363LG0600X 4704312075 MI

Addresses

Primary practice location

1701 South Blvd E Ste 320
Rochester Hills, MI 48307-6117

Mailing address

1701 South Blvd E Ste 320
Rochester Hills, MI 48307-6117
Phone (248) 293-3345

Other practice location 1

5280 Metropolitan Pkwy
Sterling Heights, MI 48310-4005
Phone (248) 290-3111

Other practice location 2

5701 Bow Pointe Dr Ste 220
Clarkston, MI 48346-5400
Phone (248) 620-4000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address credentialing@nephdocs.com

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
I20221110000681 MI Practitioner - Nurse Practitioner 1658748272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Oakland Univ, William Beaumont School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Michigan Kidney Consultants PCGroup PAC ID 1052207115, 45 clinicians

Practice addresses (Care Compare)

1701 S Blvd E
Suite 320
Rochester Hills, MI 48307-6117
Phone (248) 290-3345

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704312075MIMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Kidney Consultants, P.C. CurrentSince Aug 14, 2025 Accepting new patients

Locations

5701 Bow Pointe Dr
Ste 220
Clarkston, MI 48346
Phone (248) 620-4000

1701 South Blvd E
Ste 320
Rochester Hills, MI 48307
Phone (248) 290-3345

3455 Starr Rd
Royal Oak, MI 48073
Phone (248) 288-9340

5280 Metropolitan Pkwy
Sterling Heights, MI 48310
Phone (586) 446-8688

4600 Investment Dr
Ste 29
Troy, MI 48098
Phone (248) 267-5010

Interoperability endpoints

  • Direct secure messaging: jkishek79026@direct.acumenmd.com

Organizations & group practices 1

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 3

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": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1558019778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SOUTH BLVD E STE 320",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076117",
            "telephone_number": "248-293-3345",
            "fax_number": "248-293-3368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SOUTH BLVD E STE 320",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076117",
            "telephone_number": "248-293-3345",
            "fax_number": "248-293-3368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5280 Metropolitan Pkwy",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483104005",
            "country_code": "US",
            "telephone_number": "248-290-3111",
            "fax_number": "248-290-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5701 Bow Pointe Dr Ste 220",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "MI",
            "postal_code": "483465400",
            "country_code": "US",
            "telephone_number": "248-620-4000",
            "fax_number": "248-620-4776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KISHEK",
        "first_name": "JULIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-16",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704312075",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704312075",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "credentialing@nephdocs.com",
            "affiliation": "N",
            "address_1": "120 W 22nd St",
            "city": "Oak Brook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605231557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.