Individual provider Active NPI

Alexa Mae Klumpp, FNP

  • Family Nurse Practitioner
  • Chesaning, MI
National Provider Identifier
1265297253
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704349708 Issued in MI
Practice address
300 S Chapman St
Chesaning, MI 48616-1304
Phone
(989) 845-7644
Fax
(989) 845-4710
NPI assigned
Feb 19, 2024
Last updated
Feb 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704349708 MI Primary

Addresses

Primary practice location

300 S Chapman St
Chesaning, MI 48616-1304

Mailing address

300 S Chapman St
Chesaning, MI 48616-1304
Phone (989) 845-7644

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
I20240311002369 MI Practitioner - Nurse Practitioner 9830535053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial HospitalGroup PAC ID 8527976497, 210 clinicians

Practice addresses (Care Compare)

300 S Chapman St
MH Family Medicine Chesaning
Chesaning, MI 48616-1304
Phone (989) 845-7644

826 W King St
Owosso, MI 48867-2120

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Family Current Accepting new patients
Memorial Hospital Family CurrentSince Mar 11, 2024 Accepting new patients
Memorial Hospital CurrentSince Mar 11, 2024 Accepting new patients
Memorial Hospital Past Accepting new patients

Locations

300 S Chapman St
Chesaning, MI 48616
Phone (989) 729-4142

9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273

113 E Williams St
Owosso, MI 48867
Phone (989) 725-6101

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

Organizations & group practices 4

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 1

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": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1265297253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S CHAPMAN ST",
            "city": "CHESANING",
            "state": "MI",
            "postal_code": "486161304",
            "telephone_number": "989-845-7644",
            "fax_number": "989-845-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S CHAPMAN ST",
            "city": "CHESANING",
            "state": "MI",
            "postal_code": "486161304",
            "telephone_number": "989-845-7644",
            "fax_number": "989-845-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLUMPP",
        "first_name": "ALEXA",
        "middle_name": "MAE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704349708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesaning, MI

Sources for this page

Verify at the official NPI Registry.