Active NPI
Karen Ann Newsome, RN, MSN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Centreville, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- G135840
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| G135840 | IA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Center Inc | Current | Accepting new patients | |
| Covered Bridge Healthcare of St. Joseph County Inc | Multi-Specialty | Current | Accepting new patients |
| Family Health Center, Inc. | Current | Accepting new patients | |
| Community Mental Health Services of St Joseph County | Multi-Specialty | Current | 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
- 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.
-
- Community/Behavioral Health Agency
- Centreville, MI
- NPI 1366438483
Multi-Specialty
-
- Federally Qualified Health Center (FQHC)
- Centreville, MI
- NPI 1063876910
Multi-Specialty
-
- Federally Qualified Health Center (FQHC)
- Kalamazoo, MI
- NPI 1811065576
Multi-Specialty
-
- Federally Qualified Health Center (FQHC)
- Kalamazoo, MI
- NPI 1215768296
-
- Federally Qualified Health Center (FQHC)
- Kalamazoo, MI
- NPI 1023560331
-
- Federally Qualified Health Center (FQHC)
- Kalamazoo, MI
- NPI 1891005906
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.