Individual provider Active NPI

Rose Kimpe

  • Family Nurse Practitioner
  • Lapeer, MI
National Provider Identifier
1023591484
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704311409 Issued in MI
Practice address
1375 N Main St
Lapeer, MI 48446-1350
Phone
(586) 838-0955
NPI assigned
Sep 12, 2018
Last updated
Sep 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704311409 MI
Family Nurse Practitioner 363LF0000X 4704311409 MI Primary

Addresses

Primary practice location

1375 N Main St
Lapeer, MI 48446-1350

Mailing address

1375 N Main St
Lapeer, MI 48446-1350

Other practice location 1

44201 Dequindre Rd Ste Ec
Troy, MI 48085-1117
Phone (248) 964-5111

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rkodsy3150460@direct.beaumont.edu

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
I20190121001134 MI Practitioner - Nurse Practitioner 8123365756 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
89.64 of 100Reported as group
Quality
85.06
Promoting interoperability
100
Improvement activities
40
Cost
77.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704311409MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Urgent Care, P.L.L.C. CurrentSince Nov 1, 2020 Accepting new patients
Degara App, PLLC Nurse Practitioner CurrentSince Dec 16, 2018 Accepting new patients
Professional Emergency Care, PC Nurse Practitioner CurrentSince Sep 1, 2022 Accepting new patients
Beaumont Medical Group Hospital -Based Services CurrentSince Nov 22, 2021 Accepting new patients
Seton Health Corporation of Southeastern Michigan CurrentSince Feb 3, 2020 Accepting new patients
Seton Health Corporation of Southeastern Michigan CurrentSince Feb 3, 2020 Accepting new patients

Locations

9749 Dixie Hwy
Ste B
Clarkston, MI 48348
Phone (248) 942-5888

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

2116 S Milford Rd
Highland, MI 48357
Phone (248) 942-5888

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

1375 N Main St
Lapeer, MI 48446
Phone (810) 667-5500

9547 Chilson Cmns
#C
Pinckney, MI 48169
Phone (248) 942-5888

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

74 S Elk St
Sandusky, MI 48471
Phone (810) 487-4676

22255 Greenfield Rd
Ste 550
Southfield, MI 48075
Phone (586) 226-6161

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

44201 Dequindre Rd
Ste Ec
Troy, MI 48085
Phone (248) 259-3088

Interoperability endpoints

  • Direct secure messaging: rkimpe1241596@epic00.shdirect.org

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1023591484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 N MAIN ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484461350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 N MAIN ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484461350",
            "telephone_number": "586-838-0955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44201 Dequindre Rd Ste Ec",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480851117",
            "country_code": "US",
            "telephone_number": "248-964-5111",
            "fax_number": "248-964-5068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMPE",
        "first_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704311409",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704311409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rkodsy3150460@direct.beaumont.edu",
            "affiliation": "N",
            "address_1": "44201 Dequindre Rd Ste Ec",
            "city": "Troy",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480851117",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

Verify at the official NPI Registry.