ADAM JOHN HISKE (NP) – Nurse Practitioner, NPI 1104375807

ADAM JOHN HISKE (NP) is a healthcare provider. based in Grand rapids, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4704240205 (MI). The NPI Number for ADAM JOHN HISKE (NP) is 1104375807

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
ADAM JOHN HISKE (NP)
NPI
1104375807
Phone
(616) 267-0759
Address
80 68TH ST SE
Enumeration Date
23 September 2016
Last Update Date
3 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6163915600
Graduation Year
2016 (10 years ago)
PAC ID
5698054492
Group Practice PAC ID
4587568647
Professional Enrollment ID
I20161118001234
Address ID
MI495084600KE4444XSEXX401

Contacts

Secure Messaging
ahiske117062@epic00.shdirect.org
FHIR Endpoint
https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:9State licenses:1Other namesUpdated within 12 months

8,106 NURSE PRACTITIONER in MI

Provider Addresses for ADAM JOHN HISKE (NP)

  • 80 68TH ST SE

    SUITE 202

    GRAND RAPIDS, MI 495486980

    Phone: (616) 267-0759

    Type: Location

  • 8501 MEADOW CRK

    ROCKFORD, MI 493417524

    Phone: (616) 267-7884

    Type: Location

  • 100 MICHIGAN ST NE # MC845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-11-18

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
I20161118001234INurse 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 minutes5427$0
99213Established patient office or other outpatient visit, 20-29 minutes3829$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1515$0
View full utilization report →

Insurance plans in this area (ZIP 49548)

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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: 4587568647View full group profile
NameSpecialtyState
Critical Care (Intensivists)IL
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
-MI
Vascular SurgeryIL
-MI
-MI
A N E S T H E S I O L O G YTX
Clinical Social WorkerMI

Reviews

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Frequently asked questions

How do payers reference ADAM JOHN HISKE (NP)?
For ADAM JOHN HISKE (NP), use NPI 1104375807 as the unique 10-digit identifier.
Is ADAM JOHN HISKE (NP) shown as active in public data?
Registry records indicate ADAM JOHN HISKE (NP) maintains an active NPI.
What clinical focus is listed for ADAM JOHN HISKE (NP)?
At a glance, ADAM JOHN HISKE (NP) is tied to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is ADAM JOHN HISKE (NP) associated with Grand Rapids?
Public fields place ADAM JOHN HISKE (NP) around Grand Rapids, Michigan. Always confirm the exact site before visiting.
Can I trust this NPI listing for ADAM JOHN HISKE (NP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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