Individual provider Active NPI

Ronald Ken Ladouce, NP

  • Nurse Practitioner
  • Portage, MI
National Provider Identifier
1154870772
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704256971 Issued in MI
Practice address
3304 Cooley CT
Portage, MI 49024-7430
Phone
(269) 341-6736
NPI assigned
Sep 23, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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 4704256971 MI Primary

Addresses

Primary practice location

3304 Cooley CT
Portage, MI 49024-7430

Mailing address

3304 Cooley CT
Portage, MI 49024-7430
Phone (269) 349-2266

Other practice location 1

419 S Coral St
Kalkaska, MI 49646-2503
Phone (231) 258-7777

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
I20161227000370 MI Practitioner - Nurse Practitioner 8921389354 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Michigan Physician Services PCGroup PAC ID 0143730671, 66 clinicians
Grand Traverse Radiologists PCGroup PAC ID 6002866407, 32 clinicians

Practice addresses (Care Compare)

1100 E Michgan Ave
Grayling, MI 49738-1312
Phone (989) 348-5461

1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-5000

Hospital & facility affiliations

  • Munson Medical Center Hospital, Traverse City, MI, CCN 230097
  • Munson Healthcare Grayling Hospital Hospital, Grayling, MI, CCN 230058
  • Munson Healthcare Cadillac Hospital Hospital, Cadillac, MI, CCN 230081

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704256971MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Inpatient Physicians - Michigan, PLLC CurrentSince Jan 1, 2019 Accepting new patients
Sound Inpatient Physicians-Michigan, PLLC Nurse Practitioner Current Accepting new patients
Ascension Borgess Lee Hospital CurrentSince Feb 1, 2021 Accepting new patients
Hospitalist Medicine Physicians of Michigan PLLC CurrentSince Oct 15, 2022 Accepting new patients
Hospitalist Medicine Physicians of Michigan, PLLC CurrentSince Oct 15, 2022 Accepting new patients
Grand Traverse Radiologists PC CurrentSince Jul 1, 2025 Accepting new patients
North Michigan Physician Services PC Nurse Practitioner CurrentSince Jul 1, 2025 Accepting new patients
Bronson Methodist Hospital CurrentSince Dec 25, 2016 Accepting new patients
Ascension Borgess Lee Hospital CurrentSince Feb 1, 2021 Accepting new patients

Locations

3180 Solutions Ctr
Chicago, IL 60677

14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840

420 W High St
Dowagiac, MI 49047
Phone (269) 782-8681

1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317

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

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

200 N Park St
Kalamazoo, MI 49007
Phone (269) 373-7453

419 S Coral St
Kalkaska, MI 49646
Phone (231) 258-7500

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

3304 Cooley Ct
Portage, MI 49024
Phone (269) 349-2266

711 S Health Parkway
Ste 3
Three Rivers, MI 49093
Phone (269) 273-8557

711 S Health Parkway
Ste 1
Three Rivers, MI 49093
Phone (269) 273-8557

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1154870772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3304 COOLEY CT",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490247430",
            "telephone_number": "269-349-2266",
            "fax_number": "269-349-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3304 COOLEY CT",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490247430",
            "telephone_number": "269-341-6736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "419 S Coral St",
            "address_purpose": "LOCATION",
            "city": "Kalkaska",
            "state": "MI",
            "postal_code": "496462503",
            "country_code": "US",
            "telephone_number": "231-258-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LADOUCE",
        "first_name": "RONALD",
        "middle_name": "KEN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-23",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704256971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

Verify at the official NPI Registry.