Individual provider Active NPI

Mary E Kaiser, MSN, NP-C, CWOCN

  • Adult Health Nurse Practitioner
  • Kalamazoo, MI
National Provider Identifier
1144242371
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704166661 Issued in MI
Practice address
601 John St Ste W-308
Kalamazoo, MI 49007-5357
Phone
(269) 341-8827
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704166661 MI Primary

Addresses

Primary practice location

601 John St Ste W-308
Kalamazoo, MI 49007-5357

Mailing address

1717 Shaffer St
Suite 202
Kalamazoo, MI 49048-1647
Phone (269) 552-0014

Other identifiers 2

IdentifierTypeStateIssuer
73227731MedicaidCO
4859242MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct Bronson Healthcare Group

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
I20051121000072 MI Practitioner - Nurse Practitioner 9335168251 Reassigns benefits to 5 organizations
Practice locations: Kalamazoo, MI

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bronson Lakeview HospitalGroup PAC ID 9032008495, 72 clinicians
Bronson Methodist HospitalGroup PAC ID 0244148633, 721 clinicians
Bronson South Haven HospitalGroup PAC ID 6204724834, 38 clinicians

Practice addresses (Care Compare)

404 Hazen St
Suite 100
Paw Paw, MI 49079-1076
Phone (269) 657-1362

601 John St
Suite 308
Kalamazoo, MI 49007-5357
Phone (269) 341-8827

940 Blue Star Hwy
South Haven, MI 49090-7758
Phone (269) 639-2976

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.43 of 100Reported as group
Quality
75.38
Promoting interoperability
100
Improvement activities
40
Cost
79.38

Merit-based Incentive Payment System (MIPS)

Final score
87.91 of 100Reported as group
Quality
83.03
Promoting interoperability
100
Improvement activities
40
Cost
76.65

Merit-based Incentive Payment System (MIPS)

Final score
81.25 of 100Reported as group
Quality
96.84
Promoting interoperability
100
Improvement activities
40
Cost
40.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704166661MIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson South Haven Hospital CurrentSince Jan 1, 2022 Accepting new patients
Bronson Lakeview Hospital CurrentSince Jan 1, 2025 Accepting new patients
Bronson Methodist Hospital CurrentSince Jan 1, 2022 Accepting new patients
Bronson South Haven Hospital CurrentSince Jan 1, 2022 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Jan 1, 2022 Accepting new patients
Bronson Lakeview Hospital CurrentSince Jan 1, 2025 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Jan 1, 2022 Accepting new patients
Ascension Borgess Hospital PastSince Mar 21, 2018 Accepting new patients
The Surgical Group of SW Michigan PC Past Accepting new patients

Locations

300 North Ave
Battle Creek, MI 49017
Phone (269) 966-8000

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

601 John St
Ste W-308
Kalamazoo, MI 49007
Phone (269) 341-7688

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

404 Hazen St
Ste 100
Paw Paw, MI 49079
Phone (269) 341-8827

451 Health Pkwy
Paw Paw, MI 49079
Phone (269) 655-1725

950 S Bailey Ave
South Haven, MI 49090
Phone (269) 639-2796

940 Blue Star Hwy
South Haven, MI 49090
Phone (269) 263-2976

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14030/brand/1/csg/1/fhir/r4
  • Direct secure messaging: direct@direct.bronsonhg.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1144242371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 SHAFFER ST",
            "address_2": "SUITE 202",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481647",
            "telephone_number": "269-552-0014",
            "fax_number": "269-552-0014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 JOHN ST STE W-308",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075357",
            "telephone_number": "269-341-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAISER",
        "first_name": "MARY",
        "middle_name": "E",
        "credential": "MSN, NP-C, CWOCN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704166661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "73227731",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4859242",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "affiliationName": "Bronson Healthcare Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.