Individual provider Active NPI

Robert P Krupp, NURSE PRACTITIONER

  • Nurse Practitioner
  • Lansing, MI
National Provider Identifier
1093353773
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704297058 Issued in MI
Practice address
3520 Forest Rd FL 2
Lansing, MI 48910-3720
Phone
(517) 975-9500
Fax
(517) 975-9520
NPI assigned
Dec 12, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704297058 MI Primary

Addresses

Primary practice location

3520 Forest Rd FL 2
Lansing, MI 48910-3720

Mailing address

24 Frank Lloyd Wright Dr Lbby J2000
Ann Arbor, MI 48105-9484
Phone (734) 747-6766

Other identifiers 1

IdentifierTypeStateIssuer
K610745680427OtherMIDRIVER LICENSE

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
I20200331003087 MI Practitioner - Nurse Practitioner 9537598214 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Greater LansingGroup PAC ID 7214833466, 96 clinicians

Practice addresses (Care Compare)

1540 Lake Lansing Rd
Suite 103
Lansing, MI 48912-3757
Phone (517) 913-3890

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704297058MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Central Michigan Current Accepting new patients
Iha Health Services Corporation CurrentSince Apr 18, 2020 Accepting new patients
Lindconn Home Health LLC CurrentSince Aug 10, 2025 Accepting new patients
Iha Health Services Corporation Current Accepting new patients
McLaren Greater Lansing Nurse Practitioner CurrentSince Jul 26, 2021 Accepting new patients
McLaren Central Michigan Current Accepting new patients
Iha Health Service Corporation CurrentSince Apr 18, 2020 Accepting new patients
McLaren Central Michigan CurrentSince Jun 29, 2022 Accepting new patients
McLaren Central Michigan CurrentSince Jun 29, 2022 Accepting new patients
McLaren Central Michigan Current Accepting new patients
McLaren Greater Lansing Past Accepting new patients

Locations

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840

49650 Cherry Hill Rd
Ste 120
Canton, MI 48187
Phone (734) 398-7800

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

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

3520 Forest Rd
Lansing, MI 48910
Phone (517) 975-7800

1540 Lake Lansing Rd
Ste 107
Lansing, MI 48912
Phone (517) 913-3800

1540 Lake Lansing Rd
Ste 103
Lansing, MI 48912
Phone (517) 913-3890

3520 Forest Rd
Fl 2
Lansing, MI 48910
Phone (517) 975-9500

14555 Levan Rd
Ste 112
Livonia, MI 48154
Phone (734) 712-1000

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700

Organizations & group practices 11

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 6

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": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1093353773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DR LBBY J2000",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059484",
            "telephone_number": "734-747-6766",
            "fax_number": "734-222-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 FOREST RD FL 2",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489103720",
            "telephone_number": "517-975-9500",
            "fax_number": "517-975-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUPP",
        "first_name": "ROBERT",
        "middle_name": "P",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-12",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704297058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "K610745680427",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.