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

Justin Dean Roelofs, FNP-C

Individual provider Family Nurse Practitioner · NPI 1376200584

Justin Dean Roelofs, FNP-C is a Nurse Practitioner in Grand Rapids, Michigan. Qualified in 2020, 6 years ago. Practices with Advanced Radiology Services PC, a 252-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2021
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Phone: (616) 367-1046
Fax: (616) 361-5828
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)

  • 6105 Wilson Ave Sw, Grandville, MI 49418-9714 — (616) 486-5100

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704327965 (MI)

Record details

NPI number1376200584
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedNovember 22, 2021
Last updated in NPPESNovember 26, 2024
Certification dateNovember 26, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Advanced Radiology Services Pc — 252 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Grand Rapids