David Kemuel Hivale, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704212992 Issued in MI

Practice address

701 S Health Pkwy
Three Rivers, MI 49093-8352

Phone

(269) 278-1145

NPI assigned

Oct 25, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI, TX2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nottawaseppi Huron Band of the PotawatomiGroup PAC ID 2769441286, 8 clinicians

Cep America LLCGroup PAC ID 6608056171, 995 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Three Rivers Health Hospital, Three Rivers, MI, CCN 230015
• Memorial Hospital of South Bend Hospital, South Bend, IN, CCN 150058

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cep America LLC

  • Emergency Medicine Physician
  • Saginaw, MI
  • NPI 1912687328
  Medicare reassignment Care Compare group NPD
• Nottawaseppi Huron Band of the Potawatomi

  • Federal Public Health Clinic/Center
  • Wyoming, MI
  • NPI 1770500548

  TX

  Medicare reassignment Care Compare group NPD
• Ascension Borgess Hospital

  • General Acute Care Hospital
  • Kalamazoo, MI
  • NPI 1568416311
  Medicare reassignment NPD
• Elite Emergency Physicians of Michigan PC

  • Emergency Medicine Physician
  • Three Rivers, MI
  • NPI 1427730050
  Medicare reassignment NPD
• Ascension Borgess Hospital

  • Clinic/Center
  • Kalamazoo, MI
  • NPI 1447591524
  NPD
• Ascension Borgess Hospital

  • Diagnostic Radiology Physician
  • Kalamazoo, MI
  • NPI 1518753441
  NPD
• Cep America LLC

  • Emergency Medicine Physician
  • Three Rivers, MI
  • NPI 1881498202
  NPD
• Cep America LLC

  • Emergency Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1700747946
  NPD
• Three Rivers Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Three Rivers, MI
  • NPI 1942585872
  NPD (past)

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

• Three Rivers Health System, Inc

  • General Acute Care Hospital
  • Three Rivers, MI
  • NPI 1568739423
  Care Compare affiliation
• Memorial Hospital of South Bend

  • General Acute Care Hospital
  • South Bend, IN
  • NPI 1295772093
  Care Compare affiliation
• Memorial Hospital of South Bend

  • Psychiatric Hospital Unit
  • South Bend, IN
  • NPI 1376841395
  Care Compare affiliation
• Memorial Hospital of South Bend

  • General Acute Care Hospital
  • Granger, IN
  • NPI 1881177756
  Care Compare affiliation

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

{
    "created_epoch": "1351123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1578816765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 BUCKLEY LN",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490157920",
            "telephone_number": "269-317-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S HEALTH PKWY",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490938352",
            "telephone_number": "269-278-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIVALE",
        "first_name": "DAVID",
        "middle_name": "KEMUEL",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-25",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704212992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carlye J Henline, P.A.
• Rita Marinne Henline, LPN
• Dana Albert Higley, D.C.
• Michelle Renee Hill, FNP
• Hills and Valleys Counseling LLC
• Maire K. Howell, DPM
• John Howie, EDD
• Mercedes Huddleston
• Katherine Deanna Huffman
• Alissa Hulst

• Family Nurse Practitioner in Three Rivers, MI
• Providers in Three Rivers, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.

Verify at the official NPI Registry.