NPIMap

Individual provider Active NPI

Kimberley James, FNP-C

  • Primary Care Nurse Practitioner
  • Kingston, MI
National Provider Identifier
1417618224
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
4704293337 Issued in MI
Practice address
5988 State St
Kingston, MI 48741-5111
Phone
(989) 683-2221
NPI assigned
Jan 4, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Deckerville Community Hospital Inc 11 clinicians

Practice addresses (Care Compare)

3559 Pine St
Deckerville, MI 48427-7703
Phone (810) 376-2885

Hospital & facility affiliations

  • Marlette Regional Hospital Hospital, Marlette, MI, CCN 231330
  • Deckerville Community Hospital Hospital, Deckerville, MI, CCN 231311
  • Hills & Dales General Hospital Hospital, Cass City, MI, CCN 231316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220712000880 MI Practitioner - Nurse Practitioner 1658751391 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Marlette Regional Hospital CurrentSince Apr 9, 2022 Accepting new patients
Marlette Regional Hospital Current Accepting new patients
Deckerville Community Hospital, Inc. Current Accepting new patients
Deckerville Community Hospital Inc CurrentSince Apr 1, 2024 Accepting new patients
Marlette Regional Hospital CurrentSince Apr 9, 2022 Accepting new patients
Deckerville Community Hospital, Inc CurrentSince Apr 1, 2024 Accepting new patients
Hills & Dales General Hospital, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Hills & Dales General Hospital, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Deckerville Community Hospital, Inc. Past Accepting new patients
Marlette Regional Hospital Past Accepting new patients

Locations

684 N Port Crescent St
Bad Axe, MI 48413
Phone (989) 912-6575

4675 Hill St
Cass City, MI 48726
Phone (989) 872-2121

2030 Black River St
Deckerville, MI 48427
Phone (810) 376-2835

2433 Black River St
Deckerville, MI 48427
Phone (810) 376-2835

3559 Pine St
Deckerville, MI 48427
Phone (810) 376-2835

2770 Main St
Marlette, MI 48453
Phone (989) 635-4000

2750 Main St
Ste 2
Marlette, MI 48453
Phone (989) 635-4104

2771 Angle St
Marlette, MI 48453
Phone (989) 712-4214

245 S Ridge St
Port Sanilac, MI 48469
Phone (810) 376-2835

Interoperability endpoints

  • Direct secure messaging: kjames161985@direct.covenanthealthcare.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704293337 MI
Primary Care Nurse Practitioner 363LP2300X 4704293337 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

5988 State St
Kingston, MI 48741-5111

Mailing address

4225 Chevington Rd
Deckerville, MI 48427-9314
Phone (810) 499-7270

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 18, 2023.

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1417618224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 CHEVINGTON RD",
            "city": "DECKERVILLE",
            "state": "MI",
            "postal_code": "484279314",
            "telephone_number": "810-499-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5988 STATE ST",
            "city": "KINGSTON",
            "state": "MI",
            "postal_code": "487415111",
            "telephone_number": "989-683-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "KIMBERLEY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704293337",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704293337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, MI

Sources for this page

Verify at the official NPI Registry.