Individual provider Active NPI

Christina Cieslik

  • Family Nurse Practitioner
  • Jackson, MI
National Provider Identifier
1952048613
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704183105 Issued in MI
Practice address
214 N West Ave
Jackson, MI 49201-1903
Phone
(517) 784-9189
Fax
(517) 784-9657
NPI assigned
May 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704183105 MI Primary
Licensed Practical Nurse 164W00000X 4704183105 MI

Addresses

Primary practice location

214 N West Ave
Jackson, MI 49201-1903

Mailing address

214 N West Ave
Jackson, MI 49201-1903
Phone (517) 784-9189

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
I20230627001942 MI Practitioner - Nurse Practitioner 7113385915 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704183105MIMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Diversified Hospice Care, Inc. CurrentSince Jan 13, 2026 Accepting new patients
Michigan Family Medicine and Urgent Care PastSince Jan 1, 2023 Accepting new patients

Locations

4234 Cascade Rd SE
Grand Rapids, MI 49546
Phone (616) 202-4840

3290 W Big Beaver Rd
Ste 501
Troy, MI 48084
Phone (248) 649-5150

Organizations & group practices 2

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": "1652572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1952048613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 N WEST AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011903",
            "telephone_number": "517-784-9189",
            "fax_number": "517-784-9657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N WEST AVE",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492011903",
            "telephone_number": "517-784-9189",
            "fax_number": "517-784-9657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIESLIK",
        "first_name": "CHRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-15",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704183105",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MI",
            "license": "4704183105",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.