Individual provider Active NPI

Kathleen Nimiinangos Urbis, FNP

  • Nurse Practitioner
  • Negaunee, MI
National Provider Identifier
1053903625
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704339099 Issued in MI
Practice address
105 Midway Dr
Negaunee, MI 49866-9683
Phone
(720) 810-4602
NPI assigned
Feb 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704339099 MI
Nurse Practitioner 363L00000X 4704339099 MI Primary

Addresses

Primary practice location

105 Midway Dr
Negaunee, MI 49866-9683

Mailing address

105 Midway Dr
Negaunee, MI 49866-9683
Phone (720) 810-4602

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kreinhardt@parallelwebmail.com Health Information Exchange (HIE) Parallel Home Care Services, Inc.

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
I20211020001580 MI Practitioner - Nurse Practitioner 3375931579 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Michigan Medical School, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Behavioral Care Solutions for Adults and Seniors IncGroup PAC ID 4880918051, 71 clinicians

Practice addresses (Care Compare)

105 Midway Dr
Negaunee, MI 49866-9683
Phone (248) 859-3900

Merit-based Incentive Payment System (MIPS)

Final score
57.96 of 100Reported as group
Quality
21.71
Promoting interoperability
12
Improvement activities
40
Cost
78.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704339099MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Care Solutions for Adults and Seniors, Inc. Family CurrentSince Sep 18, 2021 Accepting new patients

Locations

39465 W 14 Mile Rd
Novi, MI 48377
Phone 24885939000

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": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1053903625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MIDWAY DR",
            "city": "NEGAUNEE",
            "state": "MI",
            "postal_code": "498669683",
            "telephone_number": "720-810-4602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MIDWAY DR",
            "city": "NEGAUNEE",
            "state": "MI",
            "postal_code": "498669683",
            "telephone_number": "720-810-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBIS",
        "first_name": "KATHLEEN",
        "middle_name": "NIMIINANGOS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-05",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704339099",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704339099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kreinhardt@parallelwebmail.com",
            "affiliation": "Y",
            "endpointDescription": "Secured Work Email",
            "affiliationName": "Parallel Home Care Services, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "105 Midway Dr",
            "city": "Negaunee",
            "state": "MI",
            "country_code": "US",
            "postal_code": "498669683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Negaunee, MI

Sources for this page

Verify at the official NPI Registry.