Individual provider Active NPI

Leanne Marie Kook, NP

  • Family Nurse Practitioner
  • Clinton TWP, MI
National Provider Identifier
1013243815
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704230780 Issued in MI
Practice address
16151 19 Mile Rd Ste 302
Clinton TWP, MI 48038-1159
Phone
(586) 228-7433
Fax
(586) 412-3924
NPI assigned
Oct 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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 4704230780 MI Primary

Addresses

Primary practice location

16151 19 Mile Rd Ste 302
Clinton TWP, MI 48038-1159

Mailing address

36800 31 Mile Rd
Lenox, MI 48050-1418
Phone (586) 727-4886

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lkook252326@direct.hfhs.org Henry Ford Macomb Hospital Corporation

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
I20100615000513 MI Practitioner - Nurse Practitioner 4082744289 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nephrology and Intensive Care Assoc PLLCGroup PAC ID 6901813708, 4 clinicians

Practice addresses (Care Compare)

16151 19 Mile Rd
Suite 302
Clinton Township, MI 48038-1159
Phone (586) 228-7433

Hospital & facility affiliations

  • Henry Ford Macomb Hospital Hospital, Clinton Township, MI, CCN 230047
  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053

Merit-based Incentive Payment System (MIPS)

Final score
97.2 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
70.2

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704230780MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology & Intensive Care Assoc PLLC CurrentSince Mar 15, 2016 Accepting new patients

Locations

16151 19 Mile Rd
Ste 302
Clinton Twp, MI 48038
Phone (586) 228-7433

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

16151 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 228-1760

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 3

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": "1256774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1013243815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36800 31 MILE RD",
            "city": "LENOX",
            "state": "MI",
            "postal_code": "480501418",
            "telephone_number": "586-727-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16151 19 MILE RD STE 302",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480381159",
            "telephone_number": "586-228-7433",
            "fax_number": "586-412-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOK",
        "first_name": "LEANNE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704230780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lkook252326@direct.hfhs.org",
            "affiliation": "Y",
            "affiliationName": "Henry Ford Macomb Hospital Corporation",
            "address_1": "15855 19 Mile Rd",
            "city": "Clinton Twp",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480383504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

Verify at the official NPI Registry.