Individual provider Active NPI

Janine Antoinette Roper, MSN, RN

  • Acute Care Nurse Practitioner
  • Gaylord, MI
National Provider Identifier
1356898159
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
4704237675 Issued in MI
Practice address
5467 Birch Way
Gaylord, MI 49735-9688
Phone
(734) 548-0126
NPI assigned
Sep 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704237675 MI
Gerontology Nurse Practitioner 363LG0600X 4704237675 MI
Acute Care Nurse Practitioner 363LA2100X 4704237675 MI Primary

Addresses

Primary practice location

5467 Birch Way
Gaylord, MI 49735-9688

Mailing address

16706 Dover Dr
Northville, MI 48168-6504

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
I20200409001045 MI Practitioner - Nurse Practitioner 9234568494 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samaritan Health Care PCGroup PAC ID 1254677719, 9 clinicians

Practice addresses (Care Compare)

811 E Kent Rd
Greenville, MI 48838-9791
Phone (616) 358-2208

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704237675MIMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Health Care, PC Current Accepting new patients
Walloon Lake Recovery Lodge, LLC CurrentSince Mar 1, 2020 Accepting new patients
Samaritan Health Care PC CurrentSince Feb 16, 2025 Accepting new patients

Locations

2329 Center St
Boyne Falls, MI 49713
Phone (231) 758-4566

2594 Springvale Rd
Boyne Falls, MI 49713
Phone (231) 535-2415

2329 Center St
Ste 1
Boyne Falls, MI 49713

218 Water St
Cheboygan, MI 49721
Phone (231) 751-0070

1619 W M 32
Gaylord, MI 49735
Phone (231) 751-0070

1325 S Otsego Ave
Gaylord, MI 49735
Phone (989) 705-2700

1619 W M 32
Ste 2
Gaylord, MI 49735

833 Kenmoor Ave SE
Ste K
Grand Rapids, MI 49546
Phone (616) 358-2208

811 E Kent Rd
Greenville, MI 48838
Phone (616) 225-0202

2480 W Campus Dr
Mt Pleasant, MI 48858
Phone (989) 772-1609

1465 E Apple Ave
Muskegon, MI 49442
Phone (231) 246-8092

Organizations & group practices 4

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": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1356898159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16706 DOVER DR",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481686504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5467 BIRCH WAY",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497359688",
            "telephone_number": "734-548-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROPER",
        "first_name": "JANINE",
        "middle_name": "ANTOINETTE",
        "name_prefix": "Mrs.",
        "credential": "MSN, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-09",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704237675",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704237675",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704237675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaylord, MI

Sources for this page

Verify at the official NPI Registry.