Individual provider Active NPI

Kathleen Naski, FNP

  • Family Nurse Practitioner
  • Novi, MI
National Provider Identifier
1366911737
Registry record updated Oct 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704304909 Issued in MI
Practice address
31215 Novi Rd
Novi, MI 48377-4515
Phone
(248) 624-8800
NPI assigned
Nov 15, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704304909 MI Primary

Addresses

Primary practice location

31215 Novi Rd
Novi, MI 48377-4515

Mailing address

39266 Donahue Dr
Clinton Township, MI 48038-2776
Phone (248) 467-4816

Other practice location 1

3999 Venoy Rd
Wayne, MI 48184-1485
Phone (734) 727-0440

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
I20181212002111 MI Practitioner - Nurse Practitioner 9234474628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
A Peter Evangelista MD PCGroup PAC ID 0446538581, 3 clinicians

Practice addresses (Care Compare)

31190 Novi Rd
Novi, MI 48377-4545
Phone (248) 624-5176

399 Venoy Rd
Maple Manor Rehabilitation Center LLC
Wayne, MI 48184-1485
Phone (734) 727-0440

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704304909MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maple Manor Rehab Center of Novi Inc. Past Accepting new patients
Advanced Wound Care and Hyperbaric Medicine of Michigan PC Past Accepting new patients

Organizations & group practices 3

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": "1542240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572393600000",
    "number": "1366911737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39266 DONAHUE DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480382776",
            "telephone_number": "248-467-4816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31215 NOVI RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483774515",
            "telephone_number": "248-624-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3999 Venoy Rd",
            "address_purpose": "LOCATION",
            "city": "Wayne",
            "state": "MI",
            "postal_code": "481841485",
            "country_code": "US",
            "telephone_number": "734-727-0440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASKI",
        "first_name": "KATHLEEN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-15",
        "last_updated": "2019-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704304909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.