Active NPI
Nicole Elizabeth Kalmbach, AGPCNP-BC
- Primary Care Nurse Practitioner
- Bloomfield Hills, MI
National Provider Identifier
1154894798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 4704285001
- Practice address
- 6405 Telegraph Rd Ste K1
Bloomfield Hills, MI 48301-1775 - Phone
- (248) 719-7271
- NPI assigned
- Jan 7, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 4704285001 | MI | Primary |
Addresses
Primary practice location
6405 Telegraph Rd Ste K1
Bloomfield Hills, MI 48301-1775
Mailing address
6405 Telegraph Rd Ste K1
Bloomfield Hills, MI 48301-1775
Phone (248) 719-7271
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190220003439 | MI | Practitioner - Nurse Practitioner | 3476891235 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5300 Bay Rd
Suite 300
Saginaw, MI 48604-2506
6405 Telegraph Rd
Suite K1
Bloomfield Hills, MI 48301-1775
864 Pheasant Run W Dr
Wixom, MI 48393-4541
Hospital & facility affiliations
- Beaumont Hospital - Farmington Hills
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704285001 | MI | MD | Primary Care Nurse Practitioner |
Interoperability endpoints
- nkalmbach1240713@epic00.shdirect.org
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Farmington Hills, MI
- NPI 1336183367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769040000000",
"number": "1154894798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6405 TELEGRAPH RD STE K1",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483011775",
"telephone_number": "248-719-7271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6405 TELEGRAPH RD STE K1",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483011775",
"telephone_number": "248-719-7271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KALMBACH",
"first_name": "NICOLE",
"middle_name": "ELIZABETH",
"credential": "AGPCNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-07",
"last_updated": "2026-01-22",
"certification_date": "2026-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MI",
"license": "4704285001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomfield Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.