JON RUSSELL KRUEGER (PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1033473749

JON RUSSELL KRUEGER (PMHNP) is a healthcare provider. based in Owosso, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP. They hold a License No. 4704205426 (MI). The NPI Number for JON RUSSELL KRUEGER (PMHNP) is 1033473749

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
JON RUSSELL KRUEGER (PMHNP)
NPI
1033473749
Phone
(989) 725-8124
Address
721 N Shiawassee St
Enumeration Date
27 June 2012
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Secondary Phone
8102573736
Graduation Year
2012 (14 years ago)
PAC ID
9638326705
Group Practice PAC ID
6002051091
Professional Enrollment ID
I20120823000875
Address ID
MI485032445FL420XXAVEX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

Provider Addresses for JON RUSSELL KRUEGER (PMHNP)

  • 721 N Shiawassee St

    Suite 201

    Owosso, MI 488671632

    Phone: (989) 725-8124

    Fax: (989) 723-1205

    Type: Location

  • 420 W 5TH AVE

    FLINT, MI 485032445

    Phone: (810) 257-3736

    Fax: (989) 723-1205

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 50 Open Payments records for all available years, with a total value of $937.

Total Amount is formed as General ($937) + Research ($0) + Ownership ($0) = $937.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($179).

Total Amount

$937

General + Research + Ownership

Payments

50

Total payment records

General Amount

$937

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2012-08-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120823000875INurse PractitionerMITBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes19173$0
99442Telephone medical discussion with physician, 11-20 minutes6651$0
96372Injection of drug or substance under skin or into muscle5640$0
View full utilization report →

Insurance plans in this area (ZIP 48867)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6002051091View full group profile
NameSpecialtyState
Physician AssistantMI
-MI
Physician AssistantMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Occupational Therapist In Private PracticeMI
Internal MedicineMI
Nurse PractitionerMI
Mental Health CounselorAL
Physician AssistantMI

Reviews

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Frequently asked questions

Can I verify JON RUSSELL KRUEGER (PMHNP) with an NPI only?
You can start verification with NPI 1033473749 for JON RUSSELL KRUEGER (PMHNP), then check state licensing separately.
Does CMS list JON RUSSELL KRUEGER (PMHNP) as active?
Yes — JON RUSSELL KRUEGER (PMHNP) is active in the NPI listing used on this page.
What is JON RUSSELL KRUEGER (PMHNP) best known for clinically?
Directory data describes JON RUSSELL KRUEGER (PMHNP) with Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does JON RUSSELL KRUEGER (PMHNP) list a practice location?
Patients near Owosso, Michigan may find JON RUSSELL KRUEGER (PMHNP) in results; validate coverage separately.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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