Rochelle Edwards, PMHNP, MSN, RN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

4704294783 Issued in MI

Practice address

30200 Telegraph Rd Ste 207
Bingham Farms, MI 48025-5711

Phone

(248) 712-1129

Fax

(248) 792-3249

NPI assigned

Jan 11, 2019

Sex

Female

Sole proprietor

Yes

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Registered Nurse

Practice roles

Locations

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.

• Rooted Minds LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Kalamazoo, MI
  • NPI 1932912425
  Medicare reassignment NPD Authorized official
• Kalamazoo County Community Mental Health Authority

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kalamazoo, MI
  • NPI 1710066253
  Medicare reassignment NPD
• Kalamazoo County Community Mental Health Authority

  • Community/Behavioral Health Agency
  • Kalamazoo, MI
  • NPI 1477225506
  NPD
• Palazzolo Therapy Services LLC

  • Social Worker
  • East Lansing, MI
  • NPI 1396461133
  NPD
• Restorative Therapy & Counseling Services

  • Clinical Social Worker
  • Portage, MI
  • NPI 1962005629
  NPD

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

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1467926592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1396 BUNKERHILL DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490098049",
            "telephone_number": "269-873-7543",
            "fax_number": "248-569-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30200 TELEGRAPH RD STE 207",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480255711",
            "telephone_number": "248-712-1129",
            "fax_number": "248-792-3249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 S Burdick St",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490075221",
            "country_code": "US",
            "telephone_number": "269-381-3700",
            "fax_number": "269-381-3810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "909 Abbot Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488233168",
            "country_code": "US",
            "telephone_number": "269-430-3122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "ROCHELLE",
        "credential": "PMHNP, MSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704294783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Michael Edmondson
• Sarah Eggleston
• Morgan Eigemann
• Treavor Eimers
• Brandi Loretta Eischen
• Utibe Ekpo

• Psychiatric/Mental Health Nurse Practitioner in Bingham Farms, MI
• Providers in Bingham Farms, MI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.

Verify at the official NPI Registry.