JAY S GUIKEMA (FNP) – Family Nurse Practitioner, NPI 1033289319
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,105 NURSE PRACTITIONER in MI
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Provider Addresses for JAY S GUIKEMA (FNP)
117, West Paterson Street, Kalamazoo, Kalamazoo County, Michigan, 49007, United States
KALAMAZOO, MI 490072557
Phone: (269) 349-4257
Fax: (269) 349-4257
Type: Location
100 Lake Traverse Dr
Sisseton, SD 572627046
Phone: (056) 987-6066
Type: Location
PO BOX 150753
GRAND RAPIDS, MI 495150753
Phone:
Type: Mailing
100 LAKE TRAVERSE DR
SISSETON, SD 572627046
Phone: (056) 987-6066
Type: Location
PO BOX 649
FORT DEFIANCE, AZ 865040649
Phone: (928) 729-8000
Type: Mailing
CORNER OF ROUTE N12 AND N7
FORT DEFIANCE, AZ 86504
Phone: (928) 729-8000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $125.
Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.
Last reported payment date: 2023-04-18 • Largest payer in this snapshot: Grifols USA, LLC ($125).
Total Amount
$125
General + Research + Ownership
Payments
1
Total payment records
General Amount
$125
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Grifols USA, LLC | $125 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-04-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070110000043 | I | Nurse Practitioner | TX | TBD |
| I20110401000447 | I | Nurse Practitioner | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49007)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | SD | |
| - | SD | |
| Nurse Practitioner | SD | |
| Clinical Social Worker | SD | |
| - | AZ | |
| - | SD | |
| - | KS | |
| Clinical Social Worker | OR | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | SD |
Reviews
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