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Active NPI 1326764317 Individual Practitioner Female Practitioner

Ingrid Kwak , FNP

Nurse Practitioner • Saint Joseph, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ingrid Kwak, FNP is a certified Nurse Practitioner practicing in Saint Joseph, MI. With approximately 4 years of clinical experience since completing medical education in 2022, Ingrid Kwak delivers high-quality medical care to the local community at 3950 HOLLYWOOD RD STE 110.

Ingrid Kwak is affiliated with Lakeland Hospitals At Niles And St Joseph Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, blood test, clotting time, anticoagulant management of patient taking warfarin. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3950 Hollywood Rd Ste 110

Saint Joseph, MI 490859151

Telephone 2699851000
Fax 2699833181
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Saint Joseph, MI

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -6.0 yrs vs City Avg
City Avg: 10.0 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
45 Specialists

Practicing in Saint Joseph, MI (3626 Statewide)

Telehealth Adoption Rate
26.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kwak (4 Years) 4 Yrs
Saint Joseph Specialty Average (10.0 Years) 10.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
263 175 $256.73 $103.25
85610 Blood test, clotting time
77 52 $21.00 $4.20
93793 Anticoagulant management of patient taking warfarin
71 48 $34.00 $9.15
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing
28 27 $31.00 $5.74

Medical Specialties & State Licenses

CMS Verified: 2023-08-15
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MI 4704315366

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License MI 4704315366

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Hospital & Practice Group Affiliations

Lakeland Hospitals At Niles And St Joseph Inc

3950 Hollywood Rd, Saint Joseph, MI 490859151

Phone: 2699851000

Secondary Practice Locations

31 N Saint Joseph Ave

Niles, MI 491202207

Phone: 6777269684

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

18 Associated Practitioners
Dr. Muhammad Abdel Migeed , MD

Internal Medicine - Clinical Cardiac Electrophysiology

NPI 1063431351

Doctor of Medicine (M.D.)

David Chalupa , PA-C

Physician Assistant - Medical

NPI 1063635035

Physician Assistant (Certified)

Dr. Yu-Lam Chiu , MD

Internal Medicine - Interventional Cardiology

NPI 1104886704

Doctor of Medicine (M.D.)

Dr. David Rhine , MD

Internal Medicine - Clinical Cardiac Electrophysiology

NPI 1134377435

Doctor of Medicine (M.D.)

Dr. Thomas Pow , MD

Internal Medicine - Interventional Cardiology

NPI 1174583199

Doctor of Medicine (M.D.)

Dr. Dilip Arora , MD

Internal Medicine - Interventional Cardiology

NPI 1225098114

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location August 15, 2023

Registered at 3950 HOLLYWOOD RD STE 110, SAINT JOSEPH, MI 490859151 (Tel: 2699851000)

📍
Updated Business Mailing Address August 15, 2023

Registered at 3950 HOLLYWOOD RD STE 110, SAINT JOSEPH, MI 490859151 (Tel: 2699851000)

NPI Profile Active October 12, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location October 12, 2022

Registered at 31 N SAINT JOSEPH AVE, NILES, MI 491202207 (Tel: 6777269684)

📍
Updated Business Mailing Address October 12, 2022

Registered at 1305 WHITMORE AVE NW, GRAND RAPIDS, MI 495042447

👤
Provider Name / Credentials Updated October 12, 2022

Recorded as INGRID KWAK, FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2022

Registered Nurse (License #4704315366 in MI)

🟢
Initial NPI Registration & Enumeration October 12, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1326764317
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2022
Last Update: August 15, 2023
Sole Proprietor: No

Mailing Address

3950 Hollywood Rd Ste 110

Saint Joseph, MI 490859151

Phone: 2699851000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.