Active NPI
Kristina Cullen, AGACNP
- Acute Care Nurse Practitioner
- West Bloomfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 4704320861
- Practice address
- 6777 W Maple Rd
West Bloomfield, MI 48322-3013 - Phone
- (248) 325-1000
- NPI assigned
- Jul 21, 2021
- Last updated
- Aug 11, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 4704320861 | MI | Primary |
Addresses
Primary practice location
6777 W Maple Rd
West Bloomfield, MI 48322-3013
Mailing address
PO Box 670884
Detroit, MI 48267-0884
Phone (800) 999-5829
Other practice location 1
15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone (586) 263-2320
Other practice location 2
468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Phone (313) 473-1000
Other practice location 3
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (248) 898-1994
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | KVEAL105076@DIRECT.BEAUMONT.EDU |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
28100 Grand River Ave
Farmington Hills, MI 48336-5970
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
3601 W 13 Mile Rd Ec
Beaumont Emergency Services Ro
Royal Oak, MI 48073-6712
Phone (248) 898-5058
44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-0535
468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Phone (313) 473-1705
6777 W Maple Rd
West Bloomfield, MI 48322-3013
Phone (248) 661-4100
Hospital & facility affiliations
- Beaumont Hospital - Grosse Pointe
- Beaumont Hospital Royal Oak
- Beaumont Hospital, Troy
- Henry Ford Health West Bloomfield Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.37 of 100
- Quality
- 66.73
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.98
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704320861 | MI | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health System | Nurse Practitioner | Current | Accepting new patients |
| Beaumont Medical Group- Specialty Services | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients |
Locations
15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300
1 Ford Pl
Ste 3A
Detroit, MI 48202
Phone (313) 874-2892
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320
468 Cadieux Rd
Grosse Pointe Woods, MI 48230
Phone (313) 343-1000
3601 W 13 Mile Rd
Royal Oak, MI 48073
26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860
6777 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 325-1000
Interoperability endpoints
- kveal105076@direct.beaumont.edu
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Royal Oak, MI
- NPI 1578072906
-
- Nurse Practitioner
- Detroit, MI
- NPI 1104900455
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Henry Ford West Bloomfield Hospital
- General Acute Care Hospital
- West Bloomfield, MI
- NPI 1407867559
-
dba Beaumont Hospital, Troy
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
dba Beaumont Hospital, Royal Oak
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1811044878
-
dba Beaumont Hospital, Grosse Pointe
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1942873443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 670884",
"city": "DETROIT",
"state": "MI",
"postal_code": "482670884",
"telephone_number": "800-999-5829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6777 W MAPLE RD",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483223013",
"telephone_number": "248-325-1000"
}
],
"practiceLocations": [
{
"address_1": "15855 19 Mile Rd",
"address_purpose": "LOCATION",
"city": "Clinton Township",
"state": "MI",
"postal_code": "480383504",
"country_code": "US",
"telephone_number": "586-263-2320",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "468 Cadieux Rd",
"address_purpose": "LOCATION",
"city": "Grosse Pointe",
"state": "MI",
"postal_code": "482301507",
"country_code": "US",
"telephone_number": "313-473-1000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3601 W 13 Mile Rd",
"address_purpose": "LOCATION",
"city": "Royal Oak",
"state": "MI",
"postal_code": "480736712",
"country_code": "US",
"telephone_number": "248-898-1994",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CULLEN",
"first_name": "KRISTINA",
"credential": "AGACNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-21",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MI",
"license": "4704320861",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "KVEAL105076@DIRECT.BEAUMONT.EDU",
"affiliation": "N",
"address_1": "468 Cadieux Rd",
"city": "Grosse Pointe",
"state": "MI",
"country_code": "US",
"postal_code": "482301507",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Bloomfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.