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

Ingrid Kwak, FNP

Individual provider Registered Nurse · NPI 1326764317

Ingrid Kwak, FNP is a Nurse Practitioner in Saint Joseph, Michigan. Qualified in 2022, 4 years ago. Practices with Lakeland Hospitals at Niles and St Joseph Inc, a 135-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2022
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

3950 Hollywood Rd Ste 110
Saint Joseph, MI 49085-9151
Phone: (269) 985-1000
Fax: (269) 983-3181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 31 N Saint Joseph Ave, Niles, MI 49120-2207 — (677) 726-9684

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704315366 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704315366 (MI)

Record details

NPI number1326764317
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedOctober 12, 2022
Last updated in NPPESAugust 15, 2023
Certification dateAugust 15, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Lakeland Hospitals At Niles And St Joseph Inc — 135 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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