JARED LEE KOOISTRA D.C.
NPI 1770640211
Chiropractor in Wyoming, MI

Q: What is Jared Kooistra's NPI number?

The NPI number for Jared Kooistra is 1770640211. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Q: What is Jared Kooistra's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Jared Kooistra was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since January 03, 2007Accepts Medicare Assignment

2855 BYRON CENTER AVE SW, WYOMING, MI 49519(616) 532-2518(616) 532-2696 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jared Lee Kooistra D.c. NPPES

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

JARED LEE KOOISTRA D.C. (NPI 1770640211) is an individual chiropractor in Wyoming, Michigan, licensed in Michigan (2301009263) and active in the NPI registry since January 2007. He is a graduate of Logan College Of Chiropractic (2006).

NPPES Registry Identity

NPI1770640211

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameJARED LEE KOOISTRACredential: D.C.

Location Address2855 BYRON CENTER AVE SWWyoming, MI 49519-2415

Mailing Address2855 Byron Center Ave SwWyoming, MI 49519-2415 · (616) 532-2518 · Fax (616) 532-2696

Phone(616) 532-2518

Fax(616) 532-2696

Sole ProprietorYes

Medical School CMSLogan College Of ChiropracticGraduated 2006

Enumeration DateJanuary 3, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1770640211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in MI · 2301009263

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

2855 BYRON CENTER AVE SW, Wyoming, MI 49519

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jared Lee Kooistra D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749282028

PECOS Enrollment IDI20070215000675

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

291 services38 patients

Other Providers at the Same Location NPPES 5

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

DR. ZACHARY AUSTIN VANDERWEIDE DC

Chiropractor