Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angela Kuklewski, NURSEPRACTITIONER

Individual provider Primary Care Nurse Practitioner · NPI 1578941571

Angela Kuklewski, NURSEPRACTITIONER is a Nurse Practitioner in Grand Rapids, Michigan. Qualified in 2007, 19 years ago. Practices with Complexcare Medical Group Midwest H PLLC, a 127-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
19
Licensed in
MI
In the registry since
2015
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Practice location Address checks out

600 Monroe Ave NW Ste 104
Grand Rapids, MI 49503-1470
Phone: (616) 366-4234
Fax: (855) 548-4481
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 600 Monroe Avenue Nw, Grand Rapids, MI 49503-1470 — (616) 366-4234

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 4704229854 (MI)

Record details

NPI number1578941571
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedMay 11, 2015
Last updated in NPPESMarch 19, 2024
Certification dateMarch 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Complexcare Medical Group Midwest H Pllc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Grand Rapids