Individual provider Active NPI

Michelle Cooper, FNP-C

  • Family Nurse Practitioner
  • Paw Paw, MI
National Provider Identifier
1518583202
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704381760 Issued in MI
Practice address
451 Health Pkwy Ste B
Paw Paw, MI 49079-8242
Phone
(269) 655-3065
NPI assigned
Jun 18, 2020
Last updated
Aug 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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 4704381760 MI Primary

Addresses

Primary practice location

451 Health Pkwy Ste B
Paw Paw, MI 49079-8242

Mailing address

601 John Street
Box 42
Kalamazoo, MI 49007

Other names 1

  • Michelle Garl Former name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address michelle.garl@lutheranhealthnetwork.cernerdirect.com
Direct Messaging Address michelle.garl@lutheranhealthnetwork.cernerdirect.com
Direct Messaging Address direct@direct.bronsonhg.org Direct Bronson Healthcare Group

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
I20220104002539 MI Practitioner - Nurse Practitioner 6709204449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bronson Lakeview HospitalGroup PAC ID 9032008495, shared by 6 NPIs, 72 clinicians

Practice addresses (Care Compare)

451 Health Pkwy
Paw Paw, MI 49079-8242

451 Health Pkwy E
Paw Paw, MI 49079-8242
Phone (269) 655-3090

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704381760MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson Lakeview Hospital CurrentSince Jan 30, 2022 Accepting new patients
Homeward Physicians , PLLC CurrentSince Dec 1, 2025 Accepting new patients
Bronson Lakeview Hospital CurrentSince Jan 30, 2022 Accepting new patients

Locations

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

601 John St
#39
Kalamazoo, MI 49007

601 John St
#42
Kalamazoo, MI 49007
Phone (269) 341-7806

1414 W Fair Ave
Ste 242
Marquette, MI 49855
Phone (844) 537-1036

451 Health Pkwy
Paw Paw, MI 49079
Phone (269) 655-1725

451 Health Pkwy
Ste B
Paw Paw, MI 49079
Phone (269) 655-3065

Interoperability endpoints

  • Direct secure messaging: direct@direct.bronsonhg.org
  • FHIR API: https://api.platform.athenahealth.com/26566/brand/1/csg/1/fhir/r4
  • Direct secure messaging: michelle.garl@lutheranhealthnetwork.cernerdirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1518583202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 JOHN STREET",
            "address_2": "BOX 42",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "49007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 HEALTH PKWY STE B",
            "city": "PAW PAW",
            "state": "MI",
            "postal_code": "490798242",
            "telephone_number": "269-655-3065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "MICHELLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-18",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704381760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelle.garl@lutheranhealthnetwork.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "107 W Pickwick Dr",
            "city": "Syracuse",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465671832",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michelle.garl@lutheranhealthnetwork.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "107 W Pickwick Dr",
            "city": "Syracuse",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465671832",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "affiliationName": "Bronson Healthcare Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "GARL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Paw Paw, MI

Sources for this page

Verify at the official NPI Registry.