Active NPI
Ashley Rozeveld
- Family Nurse Practitioner
- Grant, MI
National Provider Identifier
1518620293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704363455
- Practice address
- 11 N Maple St
Grant, MI 49327-7900 - Phone
- (231) 834-0444
- NPI assigned
- Oct 19, 2021
- Last updated
- Sep 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704363455 | MI | Primary |
| Registered Nurse | 163W00000X | 4704363455 | MI |
Addresses
Primary practice location
11 N Maple St
Grant, MI 49327-7900
Mailing address
1420 16 Mile Rd
Kent City, MI 49330-9044
Other practice location 1
1853 R W Berends Dr SW
Wyoming, MI 49519-4955
Phone (616) 534-9301
Other practice location 2
96 E 120th St
Grant, MI 49327-8502
Phone (231) 834-1350
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ashely.rozeveld.p1@direct.nextgenshare.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1866 S Morey Rd
Lake City, MI 49651-9190
Phone (231) 839-7282
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704363455 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake City Primary Care PC | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Lakeshore Home Health Care Services, Inc. | Past | Accepting new patients |
Locations
1866 S Morey Rd
Lake City, MI 49651
Phone (231) 839-7282
Interoperability endpoints
- ashely.rozeveld.p1@direct.nextgenshare.com
- https://api.platform.athenahealth.com/21154/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/GJGGDD/Endpoint/GJGGDD
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.
-
dba Lake City Primary Care
- Rural Health Clinic/Center
- Lake City, MI
- NPI 1952896151
-
- Home Health Agency
- Muskegon, MI
- NPI 1588416200
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Munson Healthcare Cadillac Physician Network
- Family Medicine Physician
- Cadillac, MI
- NPI 1487051611
Hospital
-
- General Acute Care Hospital
- Cadillac, MI
- NPI 1841696754
-
- Home Health Agency
- Traverse City, MI
- NPI 1326002577
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663804800000",
"number": "1518620293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 16 MILE RD",
"city": "KENT CITY",
"state": "MI",
"postal_code": "493309044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 N MAPLE ST",
"city": "GRANT",
"state": "MI",
"postal_code": "493277900",
"telephone_number": "231-834-0444"
}
],
"practiceLocations": [
{
"address_1": "1853 R W Berends Dr SW",
"address_purpose": "LOCATION",
"city": "Wyoming",
"state": "MI",
"postal_code": "495194955",
"country_code": "US",
"telephone_number": "616-534-9301",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "96 E 120th St",
"address_purpose": "LOCATION",
"city": "Grant",
"state": "MI",
"postal_code": "493278502",
"country_code": "US",
"telephone_number": "231-834-1350",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROZEVELD",
"first_name": "ASHLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-19",
"last_updated": "2022-09-22",
"certification_date": "2022-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704363455",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704363455",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ashely.rozeveld.p1@direct.nextgenshare.com",
"affiliation": "N",
"address_1": "11 N Maple St",
"city": "Grant",
"state": "MI",
"country_code": "US",
"postal_code": "493277900",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Grant, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.