Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Kristie Koczenasz, APRN,BC
Nurse Practitioner in Clarkston, MI · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1639242597
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Registry record
Entity type Individual (Type 1)
Name Kristie Koczenasz
Credential APRN,BC
Sex Female
Practice address 5701 Bow Pointe Dr, Suite 280, Clarkston, MI, 48346
Phone (248) 922-6833
Fax (248) 922-6831
Enumeration date Nov 16, 2006
Last updated in NPPES Aug 30, 2010
Taxonomy & licenses
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 4704230739 (MI) Primary
APRN · Advanced Practice Registered Nurse: An umbrella credential covering NPs, CRNAs, CNMs, and clinical nurse specialists.
About the APRN credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KK230739 | Other | MI | BLUE CROSS BLUE SHIELD |
| 5193349 | Medicaid | MI | - |
| CH3766 | Other | MI | RAILROAD MEDICARE GROUP |
| 5193358 | Medicaid | MI | - |
| 5193320 | Medicaid | MI | - |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
Where does Kristie Koczenasz practice?
The practice location on file with NPPES is in Clarkston, MI. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Kristie Koczenasz?
The National Provider Identifier (NPI) for Kristie Koczenasz is 1639242597, a Type 1 (individual) record in the CMS NPPES registry.
Other providers at this practice address
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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-08-30.