Valerie Anne Kmak, NURSE PRACTITIONER

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

4704157115 Issued in MI

Practice address

4201 Saint Antoine St
4F
Detroit, MI 48201-2153

Phone

(313) 745-4380

NPI assigned

Aug 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Uwh of Michigan PLCGroup PAC ID 0345626073, 91 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vkmak@direct.dmc.org
• Direct secure messaging: valerie.kmak.1@23753.direct.athenahealth.com

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.

• Uwh of Michigan PLC

  • Obstetrics & Gynecology Physician
  • East Lansing, MI
  • NPI 1982352357
  Medicare reassignment Care Compare group NPD
• Metro Partners in Womens Health, PC

  dba Metro Partners in Women's Health

  • Obstetrics & Gynecology Physician
  • Novi, MI
  • NPI 1083601082
  NPD (past)

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396756128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 VENDOME RD",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482363348",
            "telephone_number": "313-886-1948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 SAINT ANTOINE ST",
            "address_2": "4F",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012153",
            "telephone_number": "313-745-4380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KMAK",
        "first_name": "VALERIE",
        "middle_name": "ANNE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MI",
            "license": "4704157115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Klooster, MD, DDS
• Jared Tristan Klutke, MD
• KM&M Never Forgotten Homecare
• Kmak Hendrix & McNeeley PLLC (Premiere Womens Health Specialists)
• David Chester Kmak, MD
• Natalie Kmet, DO
• Andrea Bell Kmiec, PA-C
• KMK Home Services
• Alyssa Knaack
• Timothy P Knapman, M.D.

• Obstetrics & Gynecology Nurse Practitioner in Detroit, MI
• Providers in Detroit, MI by specialty
• Obstetrics & Gynecology Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.