Individual provider Active NPI

Kevin Kingshott, DNP-FNP

  • Nurse Practitioner
  • East Lansing, MI
National Provider Identifier
1326640343
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704177532 Issued in MI
Practice address
1843 N Hagadorn Rd
East Lansing, MI 48823-2229
Phone
(517) 332-5061
NPI assigned
Nov 13, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704177532 MI
Nurse Practitioner 363L00000X 4704177532 MI Primary

Addresses

Primary practice location

1843 N Hagadorn Rd
East Lansing, MI 48823-2229

Mailing address

18W140 Butterfield Rd FL 15
Oakbrook Terrace, IL 60181-4843
Phone (773) 276-2655

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
I20220714002517 MI Order and Referring Only - Nurse Practitioner 1759762248

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiorenal Vision of Michigan LLCGroup PAC ID 6709380447, 3 clinicians

Practice addresses (Care Compare)

41430 Grand River Ave
Novi, MI 48375-1876
Phone (773) 276-2655

Hospital & facility affiliations

  • Trinity Health Livingston Hospital Hospital, Howell, MI, CCN 230069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fowlerville Medical Center, PLC CurrentSince Apr 6, 2023 Accepting new patients

Locations

202 E Van Riper Rd
Ste 100
Fowlerville, MI 48836
Phone (517) 223-7900

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.

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": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1326640343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18W140 BUTTERFIELD RD FL 15",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814843",
            "telephone_number": "773-276-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1843 N HAGADORN RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488232229",
            "telephone_number": "517-332-5061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGSHOTT",
        "first_name": "KEVIN",
        "credential": "DNP-FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-13",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704177532",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704177532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.