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

Krystal Goudreau, RN

Individual provider Registered Nurse · NPI 1609301829

Krystal Goudreau, RN is a Nurse Practitioner in Manistique, Michigan. Qualified in 2022, 4 years ago. Practices with Complexcare Medical Group Midwest H PLLC, a 127-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2017
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

113 N Lake St
Manistique, MI 49854-1234
Phone: (906) 450-1700
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704260602 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704260602 (MI)

Record details

NPI number1609301829
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorYes
NPI enumeratedApril 25, 2017
Last updated in NPPESAugust 9, 2023
Certification dateAugust 9, 2023
Mailing address113 N Lake St, Manistique, MI 49854-1234

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 Complexcare Medical Group Midwest H Pllc — 127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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