Individual provider Active NPI

Karen Ann Newsome, RN, MSN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Centreville, MI
National Provider Identifier
1376965202
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G135840 Issued in IA
Practice address
677 E Main St
Centreville, MI 49032-8524
Phone
(269) 467-1000
NPI assigned
Jan 13, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X 4704218970 MI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G135840 IA Primary

Addresses

Primary practice location

677 E Main St
Centreville, MI 49032-8524

Mailing address

3614 Woodbridge LN
Portage, MI 49024-4092
Phone (269) 274-3029

Other practice location 1

117 W Paterson St
Kalamazoo, MI 49007-2581
Phone (269) 349-2641

Other practice location 2

1900 Murray Ave
Pittsburgh, PA 15217-1657
Phone (412) 224-2812

Other practice location 3

1015 Michigan Ave
Logansport, IN 46947-1526
Phone (574) 722-5151

Other practice location 4

638 S Bluff Blvd
Clinton, IA 52732-4742
Phone (563) 243-5633

Other practice location 5

1308 N Burdick St
Kalamazoo, MI 49007-2503
Phone (269) 349-2641

Other practice location 6

505 E Alcott St
Kalamazoo, MI 49001-6144
Phone (269) 349-2641

Other practice location 7

658 E Main St
Centreville, MI 49032-9627
Phone (269) 467-3228

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
I20210217000885 MI Practitioner - Nurse Practitioner 7012134265 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Mental Health Services of St Joseph CountyGroup PAC ID 9032178496, 17 clinicians

Practice addresses (Care Compare)

677 E Main St
Centreville, MI 49032-8524
Phone (269) 467-1000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G135840IAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Center Inc CurrentSince Mar 1, 2021 Accepting new patients
Covered Bridge Healthcare of St. Joseph County Inc Multi-Specialty CurrentSince Jan 25, 2025 Accepting new patients
Family Health Center, Inc. CurrentSince Mar 1, 2021 Accepting new patients
Community Mental Health Services of St Joseph County Multi-Specialty CurrentSince Sep 23, 2024 Accepting new patients
Family Health Center Inc Multi-Specialty Current Accepting new patients
Family Health Center, Inc. Past Accepting new patients

Locations

677 E Main St
Centreville, MI 49032
Phone (269) 467-1001

658 E Main St
Centreville, MI 49032
Phone (269) 467-3228

505 E Alcott St
Kalamazoo, MI 49001
Phone 2693492641 ext. 715

117 W Paterson St
Kalamazoo, MI 49007

1308 N Burdick St
Kalamazoo, MI 49007
Phone (269) 488-0803

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABDFAD

Organizations & group practices 6

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": "1389571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1376965202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3614 WOODBRIDGE LN",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244092",
            "telephone_number": "269-274-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 E MAIN ST",
            "city": "CENTREVILLE",
            "state": "MI",
            "postal_code": "490328524",
            "telephone_number": "269-467-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 W Paterson St",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490072581",
            "country_code": "US",
            "telephone_number": "269-349-2641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 Murray Ave",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152171657",
            "country_code": "US",
            "telephone_number": "412-224-2812",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1015 Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Logansport",
            "state": "IN",
            "postal_code": "469471526",
            "country_code": "US",
            "telephone_number": "574-722-5151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "638 S Bluff Blvd",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "IA",
            "postal_code": "527324742",
            "country_code": "US",
            "telephone_number": "563-243-5633",
            "fax_number": "563-243-9567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1308 N Burdick St",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490072503",
            "country_code": "US",
            "telephone_number": "269-349-2641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 E Alcott St",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490016144",
            "country_code": "US",
            "telephone_number": "269-349-2641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "658 E Main St",
            "address_purpose": "LOCATION",
            "city": "Centreville",
            "state": "MI",
            "postal_code": "490329627",
            "country_code": "US",
            "telephone_number": "269-467-3228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWSOME",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "credential": "RN, MSN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-13",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704218970",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G135840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, MI

Sources for this page

Verify at the official NPI Registry.