David Kocenda, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704318361 Issued in MI

Practice address

1245 N Main St Ste B
Lapeer, MI 48446-1346

Phone

(888) 229-1777

Fax

(888) 228-3870

NPI assigned

Feb 11, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 8

Addresses

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Npscm Medical Holdings LLCGroup PAC ID 8022461144, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• McLaren Lapeer Region Hospital, Lapeer, MI, CCN 230193
• McLaren Port Huron Hospital, Port Huron, MI, CCN 230216

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Npscm Medical Holdings LLC

  • Neurology Physician
  • Lapeer, MI
  • NPI 1679340772

  Pain Medicine

  Medicare reassignment Care Compare group NPD Authorized official
• Martin Quiroga PC

  • Clinic/Center
  • Warren, MI
  • NPI 1174849988
  Medicare reassignment NPD
• Michigan Healthcare Professionals PC

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1295023547
  Medicare reassignment NPD
• Rochester Oakland Ventures Inc

  • Neurology Physician
  • Lapeer, MI
  • NPI 1942088414
  NPD Authorized official
• Michigan Healthcare Professionals PC

  • Durable Medical Equipment & Medical Supplies
  • Lapeer, MI
  • NPI 1992693303
  NPD
• Michigan Advanced Surgical Center, PLLC

  • Ambulatory Surgical Clinic/Center
  • Warren, MI
  • NPI 1033730098
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• McLaren Lapeer Region

  • General Acute Care Hospital
  • Lapeer, MI
  • NPI 1205824737
  Care Compare affiliation
• McLaren Port Huron

  • General Acute Care Hospital
  • Port Huron, MI
  • NPI 1982685384
  Care Compare affiliation

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1124487665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 N MAIN ST STE B",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484461346",
            "telephone_number": "888-229-1777",
            "fax_number": "888-228-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 N MAIN ST STE B",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484461346",
            "telephone_number": "888-229-1777",
            "fax_number": "888-228-3870"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27101 Schoenherr Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480884730",
            "country_code": "US",
            "telephone_number": "586-806-6466",
            "fax_number": "586-806-6395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27101 Schoenherr Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480884700",
            "country_code": "US",
            "telephone_number": "586-217-2590",
            "fax_number": "586-434-3214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOCENDA",
        "first_name": "DAVID",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-11",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MI",
            "license": "4704318361",
            "primary": false
        },
        {
            "code": "2084P0301X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Brain Injury Medicine",
            "state": "MI",
            "license": "4704318361",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "MI",
            "license": "4704318361",
            "primary": false
        },
        {
            "code": "2084H0002X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Hospice and Palliative Medicine",
            "state": "MI",
            "license": "4704318361",
            "primary": false
        },
        {
            "code": "2084N0008X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "MI",
            "license": "4704318361",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MI",
            "license": "4704318361",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "MI",
            "license": "4704318361",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704318361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Klein, PHARMD
• Laci Y Kline
• Emilee Knappen
• Knee and Orthopaedic Center of Lapeer PC
• Kimberly Knickerbocker, MSW
• Annabelle Konczal
• Cheri Koning, P.T.
• Sally Riyadh Konja
• Andrea E Kot
• Antoinette Kotchounian, DC

• Family Nurse Practitioner in Lapeer, MI
• Providers in Lapeer, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; 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.