Individual provider Active NPI

Kimberlee Chesney, D.O.

  • Emergency Medicine Physician
  • Saint Johns, MI
National Provider Identifier
1598995102
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5101018208 Issued in MI
Practice address
805 S Oakland St
Saint Johns, MI 48879-2253
Phone
(989) 227-3400
NPI assigned
Jul 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5101018208 MI Primary

Addresses

Primary practice location

805 S Oakland St
Saint Johns, MI 48879-2253

Mailing address

805 S Oakland St
Saint Johns, MI 48879-2253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120926000724 MI Practitioner - Emergency Medicine 2567611056 Reassigns benefits to 6 organizations
I20190919000697 MI Practitioner - Preventive Medicine 2567611056 Practice locations: Lansing, MI

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Michigan State University College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edward W Sparrow Hospital AssociationGroup PAC ID 6709799166, 698 clinicians

Practice addresses (Care Compare)

1210 W Saginaw St
Lansing, MI 48915-1927
Phone (517) 364-7750

Hospital & facility affiliations

  • Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230
  • University of Michigan Health- Sparrow Clinton Hospital, Saint Johns, MI, CCN 231326

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue203
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Clinton Hospital Current Accepting new patients
Sparrow Ionia Hospital Emergency Medicine CurrentSince May 1, 2016 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Oct 15, 2020 Accepting new patients
Sparrow Ionia Hospital Current Accepting new patients
Sparrow Clinton Hospital CurrentSince May 1, 2016 Accepting new patients
Sparrow Clinton Hospital CurrentSince May 1, 2016 Accepting new patients
Sparrow Carson Hospital CurrentSince Jun 13, 2023 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Sparrow Carson Hospital CurrentSince Jun 13, 2023 Accepting new patients
Sparrow Ionia Hospital CurrentSince May 1, 2016 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Oct 15, 2020 Accepting new patients
Sparrow Clinton Hospital Emergency Medicine Current Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131

550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600

3565 S State Rd
Ionia, MI 48846
Phone (616) 523-1355

1200 E Michigan Ave
Ste 500
Lansing, MI 48912
Phone (517) 364-5123

1210 W Saginaw St
Lansing, MI 48915
Phone (517) 364-7180

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

1210 W Saginaw St
#C
Lansing, MI 48915
Phone (734) 604-2719

805 S Oakland St
#3
Saint Johns, MI 48879
Phone (989) 227-3345

805 S Oakland St
Saint Johns, MI 48879
Phone (989) 224-6881

Organizations & group practices 12

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.

Hospital & facility affiliations 3

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": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1598995102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 S OAKLAND ST",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488792253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 S OAKLAND ST",
            "city": "SAINT JOHNS",
            "state": "MI",
            "postal_code": "488792253",
            "telephone_number": "989-227-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHESNEY",
        "first_name": "KIMBERLEE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-16",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101018208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, MI

Sources for this page

Verify at the official NPI Registry.