Individual provider Active NPI

Lisa Marie Rogers

  • Psychiatric/Mental Health Nurse Practitioner
  • Mount Clemens, MI
National Provider Identifier
1346927969
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704329279 Issued in MI
Practice address
175 N Groesbeck Hwy
Mount Clemens, MI 48043-1562
Phone
(586) 217-5899
NPI assigned
Jul 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X 4704329279 MI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704329279 MI Primary
Nurse Practitioner 363L00000X 4704329279 MI

Addresses

Primary practice location

175 N Groesbeck Hwy
Mount Clemens, MI 48043-1562

Mailing address

175 N Groesbeck Hwy
Mount Clemens, MI 48043-1562

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
I20240504000294 MI Practitioner - Nurse Practitioner 7810337078 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of MacombGroup PAC ID 4880581404, 81 clinicians

Practice addresses (Care Compare)

175 N Groesbeck Hwy
Mount Clemens, MI 48043-1562
Phone (855) 996-2264

25401 Harper Ave
Saint Clair Shores, MI 48081-2240
Phone (586) 466-6912

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of Macomb CurrentSince Jan 31, 2025 Accepting new patients
Alternative Community Living, Inc. CurrentSince May 13, 2024 Accepting new patients
Hope Network West Michigan CurrentSince May 13, 2024 Accepting new patients
Hope Network S E CurrentSince May 13, 2024 Accepting new patients
County of Macomb CurrentSince Jan 31, 2025 Accepting new patients
Hope Network - Rehabilitation Services CurrentSince May 13, 2024 Accepting new patients
Alternative Community Living, Inc. Current Accepting new patients
Hope Network Behavioral Health Services CurrentSince May 13, 2024 Accepting new patients
Alternative Community Living, Inc. PastSince Sep 24, 2023 Accepting new patients
Live Rite Structured Recovery Corp PastSince Jul 1, 2023 Accepting new patients

Locations

19800 Hall Rd
Clinton Twp, MI 48038
Phone (586) 854-4804

2700 E Lansing Dr
East Lansing, MI 48823
Phone 5173321616 ext. 16205

2711 E Lansing Dr
East Lansing, MI 48823
Phone (517) 332-6932

2775 E Lansing Dr
East Lansing, MI 48823

2701 E Lansing Dr
East Lansing, MI 48823

1110 Eldon Baker Dr
Flint, MI 48507
Phone (810) 213-1803

304 W Tobias St
Flint, MI 48503
Phone (810) 233-4093

G3169 Beecher Rd
Flint, MI 48532
Phone (810) 213-1803

1450 Leonard St NE
Grand Rapids, MI 49505
Phone (616) 774-8789

1490 E Beltline Ave SE
Grand Rapids, MI 49506

5990 Venture Park Dr
Kalamazoo, MI 49009
Phone (269) 492-7842

3333 36th St SE
Kentwood, MI 49512
Phone (616) 726-1966

11652 W Grand River Ave
Lowell, MI 49331
Phone (616) 897-2956

175 N Groesbeck Hwy
Mount Clemens, MI 48043
Phone (586) 713-5103

16908 130th Ave
Nunica, MI 49448
Phone (616) 414-7305

17160 130th Ave
Nunica, MI 49448
Phone (616) 298-8190

1213 S Washington Ave
Saginaw, MI 48601
Phone (989) 401-9015

3353 Hospital Rd
Saginaw, MI 48603
Phone (989) 746-9633

799 Hombach St
Saint Ignace, MI 49781
Phone (906) 298-0438

25401 Harper Ave
St Clr Shores, MI 48081
Phone (586) 466-6912

755 36th St SE
Wyoming, MI 49548
Phone (616) 248-5160

795 36th St SE
Wyoming, MI 49548
Phone (616) 248-5160

Organizations & group practices 10

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": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1346927969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 N GROESBECK HWY",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480431562",
            "fax_number": "810-744-1306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 N GROESBECK HWY",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480431562",
            "telephone_number": "586-217-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-05",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MI",
            "license": "4704329279",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704329279",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704329279",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Clemens, MI

Sources for this page

Verify at the official NPI Registry.