Individual provider Active NPI

Renee D Lockett, NP

  • Nurse Practitioner
  • Kalamazoo, MI
National Provider Identifier
1629335609
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704237985 Issued in MI
Practice address
601 John St
Kalamazoo, MI 49007-5341
Phone
(269) 341-7339
Fax
(269) 341-7781
NPI assigned
Apr 16, 2012
Last updated
Nov 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704237985 MI Primary

Addresses

Primary practice location

601 John St
Kalamazoo, MI 49007-5341

Mailing address

PO Box 631671
Cincinnati, OH 45263-1671
Phone (877) 227-8823

Other practice location 1

2366 Oak Valley Dr
Ann Arbor, MI 48103-8944
Phone (877) 227-8823

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120516000149 MI Practitioner - Nurse Practitioner 6901069673 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7100 Stadium Dr
Kalamazoo, MI 49009-9423
Phone (269) 345-0273

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704237985MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Palliative Care Inc CurrentSince Oct 1, 2025 Accepting new patients
Bronson Battle Creek Hospital Nurse Practitioner CurrentSince Feb 1, 2022 Accepting new patients
Hospice Care of Southwest Michigan CurrentSince Dec 1, 2022 Accepting new patients
Bronson Methodist Hospital CurrentSince Jan 1, 2016 Accepting new patients
Hospice Care of Southwest Michigan CurrentSince Dec 1, 2022 Accepting new patients
Patholgy Services of Kalamazoo, PC Current Accepting new patients
Bronson Battle Creek Hospital CurrentSince Feb 1, 2022 Accepting new patients

Locations

2366 Oak Valley Dr
Ann Arbor, MI 48103
Phone (734) 662-5999

300 North Ave
Battle Creek, MI 49017
Phone (269) 966-8000

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

601 John St
#74
Kalamazoo, MI 49007
Phone (269) 341-8481

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

7100 Stadium Dr
Kalamazoo, MI 49009
Phone (269) 345-0273

404 Hazen St
Ste 101
Paw Paw, MI 49079
Phone (269) 657-2550

408 Hazen St
Paw Paw, MI 49079
Phone (269) 341-8481

451 Health Pkwy
Paw Paw, MI 49079
Phone (269) 655-1725

2255 W Centre Ave
Portage, MI 49024
Phone (269) 241-2700

Interoperability endpoints

  • Direct secure messaging: direct@direct.bronsonhg.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1334534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1629335609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631671",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631671",
            "telephone_number": "877-227-8823",
            "fax_number": "313-578-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 JOHN ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075341",
            "telephone_number": "269-341-7339",
            "fax_number": "269-341-7781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2366 Oak Valley Dr",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481038944",
            "country_code": "US",
            "telephone_number": "877-227-8823",
            "fax_number": "313-578-6393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOCKETT",
        "first_name": "RENEE",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-16",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704237985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.