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

Jerrica Kallio, FNP-BC, CPNP-PC

Individual provider Family Nurse Practitioner · NPI 1821577479

Jerrica Kallio, FNP-BC, CPNP-PC is a Nurse Practitioner in Grand Rapids, Michigan. Qualified in 2017, 9 years ago. Practices with Cherry Street Services Inc, a 58-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and Michigan.

Years since qualifying
9
Licensed in
GA, MI
In the registry since
2018
Specialties on file
4
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

72 Sheldon Ave SE
Grand Rapids, MI 49503-4234
Phone: (616) 331-9830
Fax: (616) 331-9835
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 909 Verdi Way, Clarkston, GA 30021-1057 — (206) 455-4128

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704369106 (MI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence RN262199 (GA)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence 4704369106 (MI)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence RN262199 (GA)

Record details

NPI number1821577479
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC , CPNP-PC
Sole proprietorNo
NPI enumeratedAugust 13, 2018
Last updated in NPPESJuly 11, 2023
Certification dateJuly 11, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Cherry Street Services Inc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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