Individual provider Active NPI

Kelsey Garred, NP

  • Family Nurse Practitioner
  • East Lansing, MI
National Provider Identifier
1003688268
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704349612 Issued in MI
Practice address
6200 Pine Hollow Dr Ste 400
East Lansing, MI 48823-9224
Phone
(517) 339-1676
Fax
(517) 339-2716
NPI assigned
Oct 23, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704349612 MI Primary

Addresses

Primary practice location

6200 Pine Hollow Dr Ste 400
East Lansing, MI 48823-9224

Mailing address

6200 Pine Hollow Dr Ste 400
East Lansing, MI 48823-9224
Phone (517) 339-1676

Other practice location 1

3945 Okemos Rd Ste A2
Okemos, MI 48864-4207
Phone (517) 339-1676

Other names 1

  • Kelsey Rogers Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231120002472 MI Practitioner - Nurse Practitioner 1254789845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pine Hollow Partner LLCGroup PAC ID 5092002360, 6 clinicians

Practice addresses (Care Compare)

6200 Pine Hollow Dr
Suite 400
East Lansing, MI 48823-9224
Phone (517) 339-1676

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704349612MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Hollow Partner LLC Nurse Practitioner CurrentSince Nov 14, 2023 Accepting new patients

Locations

6200 Pine Hollow Dr
Ste 400
East Lansing, MI 48823
Phone (517) 339-1676

3945 Okemos Rd
Ste A2
Okemos, MI 48864
Phone (517) 339-1676

Interoperability endpoints

  • Direct secure messaging: kelsey.rogers.p1@direct.pinehollow.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1003688268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 PINE HOLLOW DR STE 400",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488239224",
            "telephone_number": "517-339-1676",
            "fax_number": "517-339-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 PINE HOLLOW DR STE 400",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488239224",
            "telephone_number": "517-339-1676",
            "fax_number": "517-339-2716"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3945 Okemos Rd Ste A2",
            "address_purpose": "LOCATION",
            "city": "Okemos",
            "state": "MI",
            "postal_code": "488644207",
            "country_code": "US",
            "telephone_number": "517-339-1676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARRED",
        "first_name": "KELSEY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704349612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "ROGERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.