Maria Kottke, FPMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

4704164862 Issued in MI

Practice address

3222 Eden TRL
Brighton, MI 48114

Phone

(810) 623-1226

NPI assigned

Sep 10, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bio Psycho Social Holistic Mental Health Staffing, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Brighton, MI
  • NPI 1053089193
  Medicare reassignment NPD Authorized official
• Viewpoint Psychology and Wellness, L.L.C.

  • Clinical Psychologist
  • Commerce TWP, MI
  • NPI 1831641539
  Medicare reassignment

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1033544945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3222 EDEN TRL",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481149185",
            "telephone_number": "810-623-1226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3222 EDEN TRL",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "48114",
            "telephone_number": "810-623-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTTKE",
        "first_name": "MARIA",
        "credential": "FPMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704164862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "4704164862",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Moolayil Korpal, DO
• Steven T. Korycinski, MD
• Aimee Nicole Kotrba, PH.D.
• Abhilash Kotte, M.D
• Christopher Kottke, M.D.
• Sarah Kowalczyk, MSOT, OTR/L
• Jerome J Kowalski, M.A.
• Hannah Kramarczyk, ESTHETICIAN
• Matthew Paul Kramer, LPC
• Olivia Christine Kramer, NP

• Psychiatric/Mental Health Nurse Practitioner in Brighton, MI
• Providers in Brighton, MI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.