Individual provider Active NPI

Rachel Marie Munson, AGPCNP-BC

  • Gerontology Nurse Practitioner
  • Bloomfield Hills, MI
National Provider Identifier
1043074487
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
4704295817 Issued in MI
Practice address
36800 Woodward Ave Ste 230
Bloomfield Hills, MI 48304-0917
Phone
(248) 206-2100
Fax
(248) 206-2101
NPI assigned
Feb 7, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 4704295817 MI Primary

Addresses

Primary practice location

36800 Woodward Ave Ste 230
Bloomfield Hills, MI 48304-0917

Mailing address

3120 Wynns Mill PT
Metamora, MI 48455-8955
Phone (810) 441-6503

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
I20240619000092 MI Practitioner - Nurse Practitioner 2961945969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kapsokavathis LLCGroup PAC ID 5193948487, 2 clinicians

Practice addresses (Care Compare)

36800 Woodward Ave
Suite 230
Bloomfield Hills, MI 48304-0917
Phone (248) 835-4610

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kapsokavathis LLC CurrentSince Jun 10, 2024 Accepting new patients

Locations

36800 Woodward Ave
Ste 230
Bloomfield Hills, MI 48304
Phone (248) 206-2100

Interoperability endpoints

  • Direct secure messaging: rmunson3350220@direct.trinity-health.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1043074487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 WYNNS MILL PT",
            "city": "METAMORA",
            "state": "MI",
            "postal_code": "484558955",
            "telephone_number": "810-441-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36800 WOODWARD AVE STE 230",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483040917",
            "telephone_number": "248-206-2100",
            "fax_number": "248-206-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNSON",
        "first_name": "RACHEL",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704295817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

Verify at the official NPI Registry.