Individual provider Active NPI

Kristin Sausser

  • Social Worker
  • Kalamazoo, MI
National Provider Identifier
1629768718
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
680118037 Issued in MI
Practice address
2019 Rambling Rd
Kalamazoo, MI 49008-1630
Phone
(269) 350-4660
NPI assigned
May 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X
Social Worker 104100000X 680118037 MI Primary

Addresses

Primary practice location

2019 Rambling Rd
Kalamazoo, MI 49008-1630

Mailing address

2019 Rambling Rd
Kalamazoo, MI 49008-1630
Phone (269) 350-4660

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250314000861 MI Practitioner - Clinical Social Worker 1254853641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Streams P CGroup PAC ID 2961446273, 13 clinicians

Practice addresses (Care Compare)

2019 Rambling Rd
Kalamazoo, MI 49008-1630
Phone (269) 345-0909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
680118037MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Streams P C Clinical CurrentSince Jan 1, 2025 Accepting new patients

Locations

2019 Rambling Rd
Kalamazoo, MI 49008
Phone (269) 345-0909

Organizations & group practices 1

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": "1683763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1629768718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 RAMBLING RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081630",
            "telephone_number": "269-350-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2019 RAMBLING RD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081630",
            "telephone_number": "269-350-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUSSER",
        "first_name": "KRISTIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-11",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "680118037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.