Kimberly Ann Buatti, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704320956 Issued in MI

Practice address

2176 Fort St
Lincoln Park, MI 48146-2405

Phone

(313) 768-5096

Fax

(877) 409-3290

NPI assigned

Sep 26, 2022

Last updated

Aug 18, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kimberly Hurley Former name

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lifesmart Medical Center PLLCGroup PAC ID 5193263143, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

74.3 of 100Reported as group

Quality

25

Improvement activities

40

Cost

81.01

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JIHFBA

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.

• Lifesmart Medical Center PLLC

  • Primary Care Clinic/Center
  • Lincoln Park, MI
  • NPI 1477391274
  Medicare reassignment Care Compare group NPD
• Bruce a. Cassidy, D.O., PC

  • Internal Medicine Physician
  • Farmington Hills, MI
  • NPI 1053409268
  Medicare reassignment NPD
• Henry Ford Health Providence Hospital

  dba Henry Ford Providence Hospital

  • Surgery Physician
  • Southfield, MI
  • NPI 1942265236
  Medicare reassignment NPD
• Priti Bhardwaj MD PC

  • Internal Medicine Physician
  • Taylor, MI
  • NPI 1851447692
  Medicare reassignment NPD
• University Physician Group

  dba Wayne Health

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1447299797
  Medicare reassignment
• Henry Ford Health Providence Hospital

  dba Henry Ford Providence Hospital

  • Pediatrics Physician
  • Southfield, MI
  • NPI 1265497226
  NPD
• Henry Ford Health Providence Hospital

  dba Henry Ford Providence Hospital

  • Cardiovascular Disease Physician
  • Southfield, MI
  • NPI 1871554626
  NPD
• Heart Cardiology Consultants PC

  • Cardiovascular Disease Physician
  • Southfield, MI
  • NPI 1083699656
  NPD (past)
• Priti Bhardwaj MD PC

  • Internal Medicine Physician
  • Taylor, MI
  • NPI 1851487904
  NPD (past)

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

{
    "created_epoch": "1664150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1316660145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17715 ROUGEWAY ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523880",
            "telephone_number": "248-207-5965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2176 FORT ST",
            "city": "LINCOLN PARK",
            "state": "MI",
            "postal_code": "481462405",
            "telephone_number": "313-768-5096",
            "fax_number": "877-409-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUATTI",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-26",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704320956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "HURLEY",
            "credential": "MSN, FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heidi Bremer, LLBSW
• Ryan Bright
• Pamela Marie Brown
• Viktor Lane Brown, PHD
• Tiawna Michelle Bryant, REGISTERED NURSE
• Antionette Bugeja
• Jasmine La'Tese Bullock, LMSW
• Thea Bultman
• Anna Rose Bushey, LLMSW
• Winnie Cao

• Family Nurse Practitioner in Lincoln Park, MI
• Providers in Lincoln Park, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.

Verify at the official NPI Registry.