Nathan Rousse, C.N.P.

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

4704225508 Issued in MI

Practice address

217 S Madison Street
Traverse City, MI 49684-2320

Phone

(231) 922-9270

Fax

(231) 922-9271

NPI assigned

Aug 13, 2006

Last updated

Nov 12, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

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, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Munson Healthcare GraylingGroup PAC ID 2062736655, 64 clinicians

Munson Healthcare CadillacGroup PAC ID 6305161514, 104 clinicians

Kalkaska Memorial Health CenterGroup PAC ID 3577536002, 57 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Munson Healthcare Cadillac Hospital Hospital, Cadillac, MI, CCN 230081
• Munson Healthcare Grayling Hospital Hospital, Grayling, MI, CCN 230058
• Kalkaska Memorial Health Center Hospital, Kalkaska, MI, CCN 231301

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as apm

Quality

85.92

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nathan.rousse@mhc.direct.varian.com

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.

• Kalkaska Memorial Health Center

  • Family Medicine Physician
  • Kalkaska, MI
  • NPI 1013183060
  Medicare reassignment Care Compare group NPD
• Munson Healthcare Cadillac

  dba McBain Primary Care

  • Rural Health Clinic/Center
  • McBain, MI
  • NPI 1336539063
  Medicare reassignment Care Compare group NPD
• Munson Healthcare Grayling

  dba Roscommon Community Health Center

  • Rural Health Clinic/Center
  • Roscommon, MI
  • NPI 1710383351
  Medicare reassignment Care Compare group NPD
• Hospitalist Medicine Physicians of Michigan, PLLC

  • Internal Medicine Physician
  • Adrian, MI
  • NPI 1013180181
  Medicare reassignment NPD
• Munson Healthcare Charlevoix Hospital

  dba Physician Clinic of Charlevoix

  • Pediatrics Physician
  • Charlevoix, MI
  • NPI 1326124058
  Medicare reassignment NPD
• Munson Healthcare Otsego Memorial Hospital

  dba Munson Healthcare OMH Medical Group-Gaylord RHC

  • Rural Health Clinic/Center
  • Gaylord, MI
  • NPI 1164628426
  Medicare reassignment NPD
• Sound Inpatient Physicians-Michigan, PLLC

  • Internal Medicine Physician
  • Kalamazoo, MI
  • NPI 1093967861

  Nurse Practitioner

  Medicare reassignment NPD
• Munson Medical Center

  • Nurse Practitioner
  • Traverse City, MI
  • NPI 1477581759
  Medicare reassignment
• Hospitalist Medicine Physicians of Michigan PLLC

  • Internal Medicine Physician
  • Adrian, MI
  • NPI 1033370283
  NPD
• Kalkaska Memorial Health Center

  • Skilled Nursing Facility
  • Kalkaska, MI
  • NPI 1164386652
  NPD
• Kalkaska Memorial Health Center

  • Family Medicine Physician
  • Kalkaska, MI
  • NPI 1376799650

  Nurse Practitioner

  NPD
• Munson Healthcare Charlevoix Hospital

  • Certified Registered Nurse Anesthetist
  • Charlevoix, MI
  • NPI 1417033143
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Kalkaska Memorial Health Center

  • Critical Access Hospital
  • Kalkaska, MI
  • NPI 1497751309
  Care Compare affiliation
• Munson Healthcare Cadillac

  dba Munson Healthcare Cadillac Physician Network

  • Family Medicine Physician
  • Cadillac, MI
  • NPI 1487051611

  Hospital

  Care Compare affiliation
• Munson Healthcare Cadillac

  • General Acute Care Hospital
  • Cadillac, MI
  • NPI 1841696754
  Care Compare affiliation
• Munson Healthcare Grayling

  • Rural Acute Care Hospital
  • Grayling, MI
  • NPI 1083010953
  Care Compare affiliation

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1356353791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 SIXTH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842345",
            "telephone_number": "231-935-5000",
            "fax_number": "231-935-6081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 S MADISON STREET",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842320",
            "telephone_number": "231-922-9270",
            "fax_number": "231-922-9271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 E Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Grayling",
            "state": "MI",
            "postal_code": "497381312",
            "country_code": "US",
            "telephone_number": "231-344-5800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 N Otsego Ave",
            "address_purpose": "LOCATION",
            "city": "Gaylord",
            "state": "MI",
            "postal_code": "497351558",
            "country_code": "US",
            "telephone_number": "989-731-7760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14700 Lake Shore Dr",
            "address_purpose": "LOCATION",
            "city": "Charlevoix",
            "state": "MI",
            "postal_code": "497201999",
            "country_code": "US",
            "telephone_number": "231-547-4024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Hobart St",
            "address_purpose": "LOCATION",
            "city": "Cadillac",
            "state": "MI",
            "postal_code": "496012331",
            "country_code": "US",
            "telephone_number": "231-876-6421",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "419 S Coral St",
            "address_purpose": "LOCATION",
            "city": "Kalkaska",
            "state": "MI",
            "postal_code": "496462503",
            "country_code": "US",
            "telephone_number": "231-258-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROUSSE",
        "first_name": "NATHAN",
        "credential": "C.N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704225508",
            "primary": true
        },
        {
            "code": "364SX0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Oncology",
            "state": "MI",
            "license": "4704225508",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4952425",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4952434",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nathan.rousse@mhc.direct.varian.com",
            "affiliation": "N",
            "address_1": "217 S Madison Street",
            "city": "Traverse City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496842320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Katherine A Roth, MD
• Sara L Roth, MD
• Jill Rountree, LMSW
• Kristine L Roush, MSPT
• Rebecca Sallee Roush, P.T.
• Donald Edward Routzahn, RPH
• Emily Elise Ruby, LPC
• Joshua Michael Ruch, M.D.
• Lyndsay Kay Ruckle, DPT
• Signe Lynn Ruddy, LBSW

• Adult Health Nurse Practitioner in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Adult Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.