Individual provider Active NPI

John Joseph Kozlowski IV, FNP

  • Family Nurse Practitioner
  • Big Rapids, MI
National Provider Identifier
1568232007
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704355710 Issued in MI
Practice address
15044 220TH Ave
Big Rapids, MI 49307-9248
Phone
(231) 527-7150
Fax
(231) 796-4109
NPI assigned
Jan 5, 2024
Sex
Male
Sole proprietor
No

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baldwin Family Health Care 35 clinicians

Practice addresses (Care Compare)

15044 220TH Ave
Big Rapids, MI 49307-9248
Phone (231) 527-7150

Hospital & facility affiliations

  • Corewell Health Big Rapids Hospital Hospital, Big Rapids, MI, CCN 230093

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20240327001263 MI Practitioner - Nurse Practitioner 3779920616 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704355710MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baldwin Family Health Care CurrentSince Mar 11, 2025 Accepting new patients
Baldwin Family Health Care Current Accepting new patients
Baldwin Family Health Care CurrentSince Mar 11, 2025 Accepting new patients

Locations

1615 Michigan Ave
Baldwin, MI 49304
Phone (231) 745-2781

15044 220th Ave
Big Rapids, MI 49307
Phone (231) 527-7150

730 Water Tower Rd
Big Rapids, MI 49307
Phone (231) 527-7150

520 Cobb St
Cadillac, MI 49601
Phone (231) 775-6521

Interoperability endpoints

  • Direct secure messaging: john.kozlowski.p1@direct.bfhc.nextgenshare.com
  • Direct secure messaging: john.koslowski.p1@direct.bfhc.nextgenshare.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704355710 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

15044 220TH Ave
Big Rapids, MI 49307-9248

Mailing address

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

Other practice location 1

14755 215th Ave
Big Rapids, MI 49307-9224
Phone (231) 796-3200

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address john.koslowski.p1@direct.bfhc.nextgenshare.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 5, 2025.

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1568232007",
    "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": "15044 220TH AVE",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493079248",
            "telephone_number": "231-527-7150",
            "fax_number": "231-796-4109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14755 215th Ave",
            "address_purpose": "LOCATION",
            "city": "Big Rapids",
            "state": "MI",
            "postal_code": "493079224",
            "country_code": "US",
            "telephone_number": "231-796-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOZLOWSKI",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_suffix": "IV",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704355710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.koslowski.p1@direct.bfhc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "15044 220th Ave",
            "city": "Big Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493079248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Big Rapids, MI

Sources for this page

Verify at the official NPI Registry.