ADAM NIEUWKOOP – Certified Registered Nurse Anesthetist, NPI 1609226638

ADAM NIEUWKOOP is a healthcare provider. based in Caledonia, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 111460 (MI). The NPI Number for ADAM NIEUWKOOP is 1609226638

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
ADAM NIEUWKOOP
NPI
1609226638
Phone
Not provided
Address
6984 68TH ST SE
Enumeration Date
21 June 2016
Last Update Date
21 June 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2697828681
Graduation Year
2016 (10 years ago)
PAC ID
0244524890
Group Practice PAC ID
7719881002
Professional Enrollment ID
I20160804002259
Address ID
MI490471943DO420XXSTXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

2,692 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MI

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Provider Addresses for ADAM NIEUWKOOP

  • 6984, 68th Street Southeast, Alaska, Caledonia Township, Kent County, Michigan, 49316, United States

    CALEDONIA, MI 493168497

    Phone:

    Type: Mailing

  • Hillsdale Community Health Center, 168, South Howell Street, Hillsdale, Hillsdale Township, Hillsdale County, Michigan, 49242, United States

    HILLSDALE, MI 492422040

    Phone: (517) 437-4451

    Type: Location

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: 2016-08-04

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
I20160804002259ICertified Registered Nurse Anesthetist (Crna)MITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49316)

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Provider's Procedures

ADAM NIEUWKOOP performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETMI76942Ultrasonic guidance imaging supervision and interpretation for insertion of needle1111

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: 7719881002View full group profile
NameSpecialtyState
Diagnostic RadiologyPA
-WI
Internal Medicine, Cardiovascular Disease (Cardiology)MI
-MI
Interventional Cardiology, Cardiovascular Disease (Cardiology)MI
Internal MedicineMI
Certified Registered Nurse Anesthetist (Crna)MI
-MI
Hematology/Oncology, Internal MedicineMI
Interventional Cardiology, Cardiovascular Disease (Cardiology)MI

Reviews

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Frequently asked questions

What NPI should I save for ADAM NIEUWKOOP?
Save NPI 1609226638 if you need a stable reference for ADAM NIEUWKOOP.
Does this profile mean ADAM NIEUWKOOP is currently active?
Yes — ADAM NIEUWKOOP appears active in the national provider directory.
What field does ADAM NIEUWKOOP work in?
You can think of ADAM NIEUWKOOP as practicing within Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What location shows for ADAM NIEUWKOOP?
We surface Caledonia, Michigan for ADAM NIEUWKOOP based on available NPPES addresses.
What if Caledonia, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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