Individual provider Active NPI

Donna Marie Rogers, RN, BSN, CRRN

  • Case Management Registered Nurse
  • Warren, MI
National Provider Identifier
1215602289
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management Registered NurseTaxonomy code 163WC0400X
License
4704134650 Issued in MI
Practice address
14323 E 11 Mile Rd
Warren, MI 48088-4839
Phone
(586) 294-0770
Fax
(586) 294-7880
NPI assigned
Aug 12, 2021
Last updated
Aug 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 4704134650 MI Primary

Addresses

Primary practice location

14323 E 11 Mile Rd
Warren, MI 48088-4839

Mailing address

14323 E 11 Mile Rd
Warren, MI 48088-4839
Phone (586) 294-0770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704134650MIMDCase Management Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Care Coordinators, Inc. CurrentSince Aug 15, 2021 Accepting new patients

Locations

14323 E 11 Mile Rd
Warren, MI 48088
Phone (586) 294-0770

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1215602289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14323 E 11 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480884839",
            "telephone_number": "586-294-0770",
            "fax_number": "586-294-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14323 E 11 MILE RD",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480884839",
            "telephone_number": "586-294-0770",
            "fax_number": "586-294-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN, CRRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MI",
            "license": "4704134650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.