Individual provider Active NPI

Kerensa Nicole Caudell, FNP

  • Family Nurse Practitioner
  • Flushing, MI
National Provider Identifier
1386539674
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704329981 Issued in MI
Practice address
6020 W Pierson Rd
Flushing, MI 48433-2335
Phone
(810) 720-1200
NPI assigned
Jun 9, 2025
Last updated
Jun 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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 4704329981 MI Primary

Addresses

Primary practice location

6020 W Pierson Rd
Flushing, MI 48433-2335

Mailing address

9790 W Freeland Rd
Freeland, MI 48623-9464
Phone (248) 202-4603

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
I20250623002249 MI Practitioner - Nurse Practitioner 5890207252 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Saginaw Valley Medical College - NLG, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flushing Urgent Care PLCGroup PAC ID 2961653803, 14 clinicians

Practice addresses (Care Compare)

6020 W Pierson Rd
Convenient Urgent Care
Flushing, MI 48433-2335
Phone (810) 720-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Flushing Urgent Care PLC CurrentSince Jun 18, 2025 Accepting new patients

Locations

6020 W Pierson Rd
Flushing, MI 48433
Phone (810) 407-7989

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1386539674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9790 W FREELAND RD",
            "city": "FREELAND",
            "state": "MI",
            "postal_code": "486239464",
            "telephone_number": "248-202-4603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6020 W PIERSON RD",
            "city": "FLUSHING",
            "state": "MI",
            "postal_code": "484332335",
            "telephone_number": "810-720-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUDELL",
        "first_name": "KERENSA",
        "middle_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-09",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704329981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, MI

Sources for this page

Verify at the official NPI Registry.