Kyle James Nordstrom, DNP, AGACNP-BC in Midland, MI

Kyle James Nordstrom, DNP, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Midland, Michigan. His current practice location is 4000 Wellness Dr, Midland, Michigan. You can reach out to his office (for appointments etc.) via phone at (989) 837-9090.

Kyle James Nordstrom is licensed to practice in Michigan (license number 4704321425) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1801592647.

Contact Information

	Kyle James Nordstrom, DNP, AGACNP-BC
	4000 Wellness Dr, Midland, MI 48670-2000
	(989) 837-9090
	Not Available

Map and Direction

Provider's Profile

Full Name	Kyle James Nordstrom
Gender	Male
Speciality	Nurse Practitioner - Acute Care
Location	4000 Wellness Dr, Midland, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801592647
Provider Enumeration Date: 02/03/2023
Last Update Date: 02/03/2023

Medicare PECOS Information:

PECOS PAC ID: 3779948674
Enrollment ID: I20230428000403

Medical Identifiers

Medical identifiers for Kyle James Nordstrom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801592647	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	4704321425NSA2302O (Michigan)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	4704321425 (Michigan)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kyle James Nordstrom allows following entities to bill medicare on his behalf.

Entity Name	Mymichigan Medical Center Midland
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205889490 PECOS PAC ID: 2264323633 Enrollment ID: O20040324000137

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kyle James Nordstrom is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Kyle James Nordstrom, DNP, AGACNP-BC 2250 Rollins St, Grand Blanc, MI 48439-4338 Ph: (810) 397-3950	Kyle James Nordstrom, DNP, AGACNP-BC 4000 Wellness Dr, Midland, MI 48670-2000 Ph: (989) 837-9090

Reviews and Comments

Nurse Practitioner Nurses in Midland, MI

Lisa Lynette Miller, ARNP, BSN, MN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4201 Campus Ridge Dr Ste 4000, Midland, MI 48640 Phone: 989-839-3393
Kelli Overway, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 W Wackerly St, Midland, MI 48640 Phone: 989-488-5850
Raimee Denise Schertzberg, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 555 W Wackerly St Ste 1600, Midland, MI 48640 Phone: 989-839-8810
Diane Ladd, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5912 Eastman Ave, Midland, MI 48640 Phone: 989-832-6400
Mrs. Bridgette T Closen, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1320 Waldo Ave Ste 300, Midland, MI 48642 Phone: 989-667-3440
Samantha Papa, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4000 Wellness Dr, Midland, MI 48670 Phone: 989-954-2240
Sarah L Slavik, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4100 Campus Ridge Dr, Midland, MI 48640 Phone: 989-839-1386 Fax: 989-839-3324

Kyle James Nordstrom, DNP, AGACNP-BC - Medicare Nurse Practitioner in Midland, MI