Active NPI
Amber L. Kokkonen, N.P.
- Family Nurse Practitioner
- Laurium, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704253702
- Practice address
- 300 Hecla St
Laurium, MI 49913-2128 - Phone
- (906) 337-9355
- Fax
- (906) 337-4788
- NPI assigned
- Aug 5, 2014
- Last updated
- Nov 5, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704253702 | MI | Primary |
Addresses
Primary practice location
300 Hecla St
Laurium, MI 49913-2128
Mailing address
300 Hecla St
Laurium, MI 49913-2128
Phone (906) 337-9355
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558770495 | Medicaid | MI |
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, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aspirus Keweenaw
Practice addresses (Care Compare)
1000 Cedar St
Houghton, MI 49931-1978
Phone (906) 487-1710
110 Calumet St
Lake Linden, MI 49945-1308
Phone (906) 296-5040
205 Osceola St
Laurium, MI 49913-2134
Phone (906) 337-3100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Keweenaw | Current | Accepting new patients | |
| Aspirus Keweenaw | Current | Accepting new patients | |
| Aspirus Keweenaw | Current | Accepting new patients | |
| Aspirus Keweenaw | Current | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
1000 Cedar St
Houghton, MI 49931
Phone (906) 482-8201
1000 Cedar St
Ste 3
Houghton, MI 49931
110 Calumet St
Lake Linden, MI 49945
Phone (906) 296-5040
205 Osceola St
Laurium, MI 49913
Phone (906) 337-3100
205 Osceola St
Fl 1
Laurium, MI 49913
300 Hecla St
Laurium, MI 49913
Phone (906) 337-9355
Interoperability endpoints
- akokkonen105597@direct.aspirus.org
Organizations & group practices 4
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 Aspirus Ontonagon Clinic
- Rural Health Clinic/Center
- Ontonagon, MI
- NPI 1023161932
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Aspirus Ontonagon Clinic
- Rural Health Clinic/Center
- Ontonagon, MI
- NPI 1023161932
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446681600000",
"number": "1558770495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 HECLA ST",
"city": "LAURIUM",
"state": "MI",
"postal_code": "499132128",
"telephone_number": "906-337-9355",
"fax_number": "906-337-4788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 HECLA ST",
"city": "LAURIUM",
"state": "MI",
"postal_code": "499132128",
"telephone_number": "906-337-9355",
"fax_number": "906-337-4788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOKKONEN",
"first_name": "AMBER",
"middle_name": "L.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-05",
"last_updated": "2015-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704253702",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1558770495",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laurium, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2015; 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.