Individual provider Active NPI

Terri Rosel, NP

  • Nurse Practitioner
  • Caledonia, MI
National Provider Identifier
1326270760
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704226153 Issued in MI
Practice address
8941 N Rodgers CT SE
Caledonia, MI 49316-8013
Phone
(616) 252-5300
Fax
(616) 252-5390
NPI assigned
Aug 19, 2009
Last updated
Jun 18, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704226153 MI Primary

Addresses

Primary practice location

8941 N Rodgers CT SE
Caledonia, MI 49316-8013

Mailing address

2122 Health Dr SW
Suite 230
Wyoming, MI 49519-9698

Other names 1

  • Terri Whittaker 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
I20091103000679 MI Practitioner - Nurse Practitioner 6002954542 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Metropolitan HospitalGroup PAC ID 5597651836, 421 clinicians

Practice addresses (Care Compare)

2215 44TH St SW
Metro Health Southwest
Wyoming, MI 49519-6439
Phone (616) 252-8300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704226153MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cherry Street Services, Inc. CurrentSince Nov 1, 2017 Accepting new patients
Metropolitan Hospital CurrentSince Apr 27, 2022 Accepting new patients
Cherry Street Services, Inc CurrentSince Nov 1, 2017 Accepting new patients
Metropolitan Hospital Past Accepting new patients
Pennant Physician Services Past Accepting new patients
Metropolitan Hospital Past Accepting new patients
Metropolitan Hospital Past Accepting new patients
Metropolitan Enterprises Inc. Nurse Practitioner Past Accepting new patients

Locations

8941 N Rodgers Ct SE
Caledonia, MI 49316
Phone (616) 252-5300

14211 White Creek Ave NE
Cedar Springs, MI 49319
Phone (616) 252-6300

4200 Division Ave N
Comstock Park, MI 49321
Phone (616) 252-1600

550 Cherry St SE
Grand Rapids, MI 49503
Phone (616) 235-7272

2550 W Main St
Lowell, MI 49331
Phone (616) 252-5600

2122 Health Dr SW
Ste 230
Wyoming, MI 49519

2215 44th St SW
Wyoming, MI 49519
Phone (616) 252-8300

5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243

Organizations & group practices 8

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": "1250640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403049600000",
    "number": "1326270760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 HEALTH DR SW",
            "address_2": "SUITE 230",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8941 N RODGERS CT SE",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493168013",
            "telephone_number": "616-252-5300",
            "fax_number": "616-252-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEL",
        "first_name": "TERRI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-19",
        "last_updated": "2014-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704226153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRI",
            "last_name": "WHITTAKER",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Caledonia, MI

Sources for this page

Verify at the official NPI Registry.