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KRISTIE KOCZENASZ APRN,BC
NPI 1639242597
Nurse Practitioner in Clarkston, MI

Active since November 16, 2006
5701 BOW POINTE DR, SUITE 280, CLARKSTON, MI 48346(248) 922-6833(248) 922-6831 Get Directions Write a Review

NPPES record last updated: August 30, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kristie Koczenasz Aprn,bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTIE KOCZENASZ APRN,BC (NPI 1639242597) is an individual nurse practitioner in Clarkston, Michigan, licensed in Michigan (4704230739) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1639242597
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKRISTIE KOCZENASZCredential: APRN,BC
Location Address5701 BOW POINTE DR, SUITE 280Clarkston, MI 48346-3198
Mailing Address5701 Bow Pointe Dr, Suite 280Clarkston, MI 48346-3198 · (248) 922-6833 · Fax (248) 922-6831
Phone(248) 922-6833
Fax(248) 922-6831
Sole ProprietorNo
Enumeration DateNovember 16, 2006
Last NPPES UpdateAugust 30, 2010
✔ NPI 1639242597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704230739
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
5701 BOW POINTE DR, Clarkston, MI 48346
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Other Identifiers 8

OtherKK230739MI · Blue Cross Blue Shield
Medicare PINP34780034MI
Medicaid5193320MI
Medicare UPINQ75249
Medicaid5193349MI
Medicare OSCAR/certificationB56088107MI
Medicaid5193358MI
OtherCH3766MI · Railroad Medicare Group

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GARY S KWARTOWITZ D.O.
Otolaryngology
5701 BOW POINTE DR, SUITE 200
CLARKSTON, MI 48346
Oakland County (248) 620-3100
CLARKSTON DERMATOLOGY & VEIN CENTER PLLC
Dermatology
5701 BOW POINTE DR, SUITE 215
CLARKSTON, MI 48346
Oakland County (248) 620-3376
NORTH OAKLAND EAR NOSE &THROAT CENTERS PC
Otolaryngology
5701 BOW POINTE DR, SUITE 200
CLARKSTON, MI 48346
Oakland County (248) 620-3100
DR. TIMOTHY R ONEILL DO
Family Medicine
5701 BOW POINTE DR, SUITE 100
CLARKSTON, MI 48346
Oakland County (248) 625-2621
MRS. SUSAN LOUISE CLARK NP
Nurse Practitioner (Psychiatric/Mental Health)
5701 BOW POINTE DR, SUITE 225
CLARKSTON, MI 48346
Oakland County (248) 384-8300
DR. SCOTT SIMECEK II D.O.
Internal Medicine (Pulmonary Disease)
5701 BOW POINTE DR, STE 365
CLARKSTON, MI 48346
Oakland County (248) 922-9283
WILLIAM E RIZZO MD
Internal Medicine
5701 BOW POINTE DR, SUITE 120
CLARKSTON, MI 48346
Oakland County (248) 625-2273
DR. NAVEEN GUNDA REDDY M.D.
Internal Medicine (Gastroenterology)
5701 BOW POINTE DR, SUITE 370
CLARKSTON, MI 48346
Oakland County (248) 625-4055

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kristie Koczenasz's NPI number?

The NPI number for Kristie Koczenasz is 1639242597. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Kristie Koczenasz located?

Kristie Koczenasz practices at 5701 Bow Pointe Dr Suite 280, Clarkston, MI 48346. The listed phone number is (248) 922-6833.

What is Kristie Koczenasz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Kristie Koczenasz was last updated on August 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.