Individual provider Active NPI

Monase Mickness Chibambo, NP

  • Gerontology Nurse Practitioner
  • Kalamazoo, MI
National Provider Identifier
1265267405
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
4704303464 Issued in MI
Practice address
6480 Technology Ave
Kalamazoo, MI 49009-8119
Phone
(877) 232-2857
Fax
(269) 250-8020
NPI assigned
Sep 6, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 4704303464 MI Primary

Addresses

Primary practice location

6480 Technology Ave
Kalamazoo, MI 49009-8119

Mailing address

3622 Nottingham Dr NE
Grand Rapids, MI 49546-1361
Phone (616) 970-9610

Other practice location 1

3050 Ivanrest Ave SW Ste C
Grandville, MI 49418-1400
Phone (616) 626-1596

Other names 1

  • Monase Chibambo Former name

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
I20250603004034 MI Practitioner - Nurse Practitioner 1658880315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimed Healthcare Partners PLLCGroup PAC ID 6305283011, 4 clinicians

Practice addresses (Care Compare)

6480 Technology Ave
Suite a
Kalamazoo, MI 49009-8126
Phone (877) 232-2857

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704303464MIMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optimed Healthcare Partners, PLLC CurrentSince Mar 10, 2025 Accepting new patients
Optimed Health Partners Inc PastSince Mar 10, 2025 Accepting new patients

Locations

3050 Ivanrest Ave SW
Ste C
Grandville, MI 49418
Phone (616) 626-1596

6480 Technology Ave
Ste A
Kalamazoo, MI 49009
Phone (269) 250-8000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1725580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1265267405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3622 NOTTINGHAM DR NE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495461361",
            "telephone_number": "616-970-9610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6480 TECHNOLOGY AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490098119",
            "telephone_number": "877-232-2857",
            "fax_number": "269-250-8020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3050 Ivanrest Ave SW Ste C",
            "address_purpose": "LOCATION",
            "city": "Grandville",
            "state": "MI",
            "postal_code": "494181400",
            "country_code": "US",
            "telephone_number": "616-626-1596",
            "fax_number": "877-326-2856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIBAMBO",
        "first_name": "MONASE",
        "middle_name": "MICKNESS",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-06",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704303464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONASE",
            "last_name": "CHIBAMBO",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.