Jesse R Kooistra, FNP
Jesse R Kooistra, FNP is a Nurse Practitioner in Warsaw, Indiana. Qualified in 2025, 1 year ago. Practices with Medstat LLC, an 8-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.
- Years since qualifying
- 1
- Licensed in
- IN
- In the registry since
- 2025
- Specialties on file
- 4
What do these letters mean?
- FNP — Family Nurse Practitioner
- A nurse practitioner who treats patients of all ages, much like a family doctor.
Practice location Address checks out
1500 Provident Dr Ste AWarsaw, IN 46580-3297
Phone: (574) 372-7637
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 600 East Blvd, Elkhart, IN 46514-2483 — (406) 468-5767
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 71016732A (IN) |
|---|---|
| Basic Emergency Medical Technician | Taxonomy 146N00000X |
| Emergency Registered Nurse | Taxonomy 163WE0003X · Licence E3105472 (IN) |
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence E3105472 (IN) |
Record details
| NPI number | 1467251496 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | FNP |
| Sole proprietor | No |
| NPI enumerated | March 11, 2025 |
| Last updated in NPPES | July 18, 2025 |
| Certification date | July 18, 2025 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Group practice | Medstat Llc — 8 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |