Cailey Rooker, PA-C

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

5601012826 Issued in MI

Practice address

2900 Niles Rd
Saint Joseph, MI 49085-8607

Phone

(269) 428-5199

Fax

(269) 428-5190

NPI assigned

Nov 4, 2024

Sex

Female

Sole proprietor

No

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, IN2 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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• St Joseph Dermatology and Vein Clinic PLLC

  • Dermatology Physician
  • Saint Joseph, MI
  • NPI 1407309560
  Medicare reassignment
• Michigan City Dermatology and Vein Clinic LLC

  • Dermatology Physician
  • Michigan City, IN
  • NPI 1962027581
  Medicare reassignment

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1609699123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 NILES RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858607",
            "telephone_number": "269-428-5199",
            "fax_number": "269-428-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 NILES RD",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490858607",
            "telephone_number": "269-428-5199",
            "fax_number": "269-428-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROOKER",
        "first_name": "CAILEY",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "5601012826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon Roe, D.O.
• Francesca Adamina Rogozinski, DO
• Becky Ann Rommel, OT
• Rudolf David Ronto, DDS
• Gregory Clair Rood, M.D.
• Catharine Roos, MD
• Debra L Rose, LMFT
• Todd Earl Rose, PT
• Nathaniel Ryan Rosenbaum, DPT
• Rebekah Rosenbaum

• Dermatology Physician in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.