NPIMap

Individual provider Active NPI

Courtney Kamyszek, NP

  • Family Nurse Practitioner
  • Charlotte, MI
National Provider Identifier
1548968787
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704342376 Issued in MI
Practice address
111 Lansing St Ste 230
Charlotte, MI 48813-2400
Phone
(517) 543-5110
NPI assigned
Feb 17, 2023
Last updated
Feb 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 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 4704342376 MI Primary

Addresses

Primary practice location

111 Lansing St Ste 230
Charlotte, MI 48813-2400

Mailing address

309 Kingman Rd
Mason, MI 48854-9592
Phone (517) 219-3937

Other names 1

  • Courtney Barnett Former name

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
I20230330002612 MI Practitioner - Nurse Practitioner 1153796354 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sparrow Eaton HospitalGroup PAC ID 0042103509, 45 clinicians

Practice addresses (Care Compare)

111 Lansing St
Charlotte, MI 48813-2400

230 Temple St
Mason, MI 48854-1851
Phone (517) 676-9066

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704342376MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Eaton Hospital Current Accepting new patients
Sparrow Eaton Hospital CurrentSince Mar 1, 2023 Accepting new patients
Sparrow Eaton Hospital CurrentSince Mar 1, 2023 Accepting new patients
Sparrow Eaton Hospital Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

111 Lansing St
Ste 110
Charlotte, MI 48813
Phone (517) 541-5855

111 Lansing St
Ste 220
Charlotte, MI 48813
Phone (517) 543-9563

111 Lansing St
Ste 230
Charlotte, MI 48813
Phone (517) 543-5110

321 E Harris St
Charlotte, MI 48813
Phone (517) 541-5840

Interoperability endpoints

  • Direct secure messaging: ckamyszek72862@sparrowdirecthie.org

Organizations & group practices 6

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 5

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": "1676592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1548968787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 KINGMAN RD",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488549592",
            "telephone_number": "517-219-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 LANSING ST STE 230",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488132400",
            "telephone_number": "517-543-5110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMYSZEK",
        "first_name": "COURTNEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-17",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704342376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "BARNETT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, MI

Sources for this page

Verify at the official NPI Registry.