Individual provider Active NPI

Kristina Cunningham, ANP-BC

  • Adult Health Nurse Practitioner
  • Sterling Heights, MI
National Provider Identifier
1962755058
Registry record updated Oct 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704253003 Issued in MI
Practice address
5456 15 Mile Rd
101
Sterling Heights, MI 48310-5110
Phone
(586) 977-7246
NPI assigned
Oct 26, 2012
Last updated
Oct 26, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704253003 MI Primary

Addresses

Primary practice location

5456 15 Mile Rd
101
Sterling Heights, MI 48310-5110

Mailing address

5456 15 Mile Rd
101
Sterling Heights, MI 48310-5110
Phone (586) 977-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130321000564 MI Practitioner - Nurse Practitioner 3476798455 Reassigns benefits to 5 organizations
I20241010004034 KY Practitioner - Nurse Practitioner 3476798455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians

Practice addresses (Care Compare)

1330 Grand Pointe CT
Grand Blanc, MI 48439-5502
Phone (810) 695-8920

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704253003MIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC CurrentSince Sep 1, 2023 Accepting new patients
Ih Physician Services PC CurrentSince May 3, 2025 Accepting new patients
Complexcare Medical Group Midwest H PLLC CurrentSince Jun 10, 2025 Accepting new patients
Complexcare Medical Group Midwest M PLLC Nurse Practitioner CurrentSince Sep 21, 2025 Accepting new patients
Vpa PC CurrentSince Sep 1, 2023 Accepting new patients
Theoria Medical Nurse Practitioner CurrentSince Oct 28, 2024 Accepting new patients
Vpa PC CurrentSince Jul 21, 2024 Accepting new patients
Vpa PC Current Accepting new patients
Ih Physician Services, PC CurrentSince May 3, 2025 Accepting new patients
Michigan Medical Clinics, Inc Past Accepting new patients
SJMH Medical Practice-SMHC Nurse Practitioner Past Accepting new patients
Wellbridge of Clarkston, LLC Past Accepting new patients

Locations

2452 Sir Barton Way
Ste 303
Lexington, KY 40509
Phone (859) 340-3233

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

39425 Garfield Rd
Ste 22A
Clinton Township, MI 48038
Phone (586) 649-3181

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

11941 Belsay Rd
Grand Blanc, MI 48439
Phone (810) 694-1970

1330 Grand Pointe Ct
Grand Blanc, MI 48439
Phone (810) 344-3518

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

1320 Waldo Ave
Ste 300
Midland, MI 48642
Phone (586) 649-3181

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

25925 Telegraph Rd
Ste 102A
Southfield, MI 48033
Phone (248) 809-1442

26211 Central Park Blvd
Ste 600
Southfield, MI 48076
Phone (248) 936-2075

500 Kirts Blvd
Ste 200
Troy, MI 48084
Phone (248) 824-6060

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

Interoperability endpoints

  • Direct secure messaging: kcunningham553687@direct.hfhs.org

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1962755058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5456 15 MILE RD",
            "address_2": "101",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105110",
            "telephone_number": "586-977-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5456 15 MILE RD",
            "address_2": "101",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483105110",
            "telephone_number": "586-977-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "KRISTINA",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704253003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.