JON W KROEZE (MD) – Family Medicine Physician, NPI 1053405548

JON W KROEZE (MD) is a healthcare provider. based in Holland, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 4301058271 (MI). The NPI Number for JON W KROEZE (MD) is 1053405548

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
JON W KROEZE (MD)
NPI
1053405548
Phone
(616) 396-6516
Address
382 N 120TH AVE
Enumeration Date
2 October 2006
Last Update Date
14 December 2009

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6163966516
Graduation Year
1991 (35 years ago)
PAC ID
9638189640
Group Practice PAC ID
0749290740
Professional Enrollment ID
I20060505000101
Address ID
MI494242169HO382XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,418 FAMILY PRACTICE in MI

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Provider Addresses for JON W KROEZE (MD)

  • 120th Avenue, Holland, Holland Charter Township, Ottawa County, Michigan, 49423, United States

    HOLLAND, MI 49424

    Phone: (616) 396-6516

    Fax: (616) 396-2513

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $156.

Total Amount is formed as General ($156) + Research ($0) + Ownership ($0) = $156.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($72).

Total Amount

$156

General + Research + Ownership

Payments

7

Total payment records

General Amount

$156

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2006-05-05

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
I20060505000101IFamily PracticeMITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes8054$0
99214Established patient office or other outpatient visit, 30-39 minutes4534$0
83036Hemoglobin a1c level1211$0
View full utilization report →

Insurance plans in this area (ZIP 49424)

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Provider's Procedures

JON W KROEZE (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMI83036Hemoglobin A1C level1713

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: 0749290740View full group profile
NameSpecialtyState
Nurse PractitionerMI
Family PracticeMI
Family PracticeMI
Nurse PractitionerMI
Family PracticeMI
Nurse PractitionerMI
Family PracticeMI
Family PracticeMI
Family PracticeMI
Family PracticeMI

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

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Frequently asked questions

What unique ID ties claims to JON W KROEZE (MD)?
NPI 1053405548 is assigned to JON W KROEZE (MD) under the national enumeration system.
Is JON W KROEZE (MD)'s NPI currently valid?
The extract we use shows JON W KROEZE (MD) as active.
What field does JON W KROEZE (MD) work in?
You can think of JON W KROEZE (MD) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is JON W KROEZE (MD)'s primary listing?
We display Holland, Michigan because that is what the record indicates for JON W KROEZE (MD).
How can I contact JON W KROEZE (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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