Individual provider Active NPI

Linda L Rossman, NP

  • Nurse Practitioner
  • Grand Haven, MI
National Provider Identifier
1528070984
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704125249 Issued in MI
Practice address
700 Washington Ave Ste 220
Grand Haven, MI 49417-1462
Phone
(616) 842-6710
Fax
(616) 842-1103
NPI assigned
Aug 13, 2006
Last updated
Jan 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704125249 MI Primary

Addresses

Primary practice location

700 Washington Ave Ste 220
Grand Haven, MI 49417-1462

Mailing address

700 Washington Ave Ste 220
Grand Haven, MI 49417-1462
Phone (616) 842-6710

Other practice location 1

483 Century Ln
Holland, MI 49423-4286
Phone (616) 396-5284

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
I20100123000076 MI Practitioner - Nurse Practitioner 7012059421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reach for Recovery IncGroup PAC ID 1052415866, 6 clinicians

Practice addresses (Care Compare)

483 Century LN
Holland, MI 49423-4286
Phone (616) 396-5284

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704125249MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Care Specialists PC Past Accepting new patients
Battle Creek Emergency Physicians, PC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1528070984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 WASHINGTON AVE STE 220",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171462",
            "telephone_number": "616-842-6710",
            "fax_number": "616-842-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WASHINGTON AVE STE 220",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494171462",
            "telephone_number": "616-842-6710",
            "fax_number": "616-842-1103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "483 Century Ln",
            "address_purpose": "LOCATION",
            "city": "Holland",
            "state": "MI",
            "postal_code": "494234286",
            "country_code": "US",
            "telephone_number": "616-396-5284",
            "fax_number": "616-396-8387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSSMAN",
        "first_name": "LINDA",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704125249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

Verify at the official NPI Registry.