Individual provider Active NPI

Laura Meghann Robertson, NP-C

  • Nurse Practitioner
  • Kalamazoo, MI
National Provider Identifier
1659886810
Registry record updated Dec 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704248937 Issued in MI
Practice address
521 E Michigan Ave
Kalamazoo, MI 49007-3889
Phone
(269) 349-6759
NPI assigned
Dec 11, 2017
Last updated
Dec 11, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2017

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 4704248937 MI Primary

Addresses

Primary practice location

521 E Michigan Ave
Kalamazoo, MI 49007-3889

Mailing address

85 Carlyle Ave
Coldwater, MI 49036-1058
Phone (419) 690-0075

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
I20180320000664 MI Practitioner - Nurse Practitioner 3870811268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Paragon Health PCGroup PAC ID 1658283007, 52 clinicians

Practice addresses (Care Compare)

521 E Michigan Ave
201 Nephrology Center
Kalamazoo, MI 49007-3889
Phone (269) 349-6759

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Paragon Health, PC CurrentSince Jan 31, 2018 Accepting new patients
Paragon Health PC CurrentSince Jan 31, 2018 Accepting new patients

Locations

551 Linn St
Allegan, MI 49010
Phone (269) 686-5800

730 Airway Dr
Allegan, MI 49010
Phone (269) 673-1700

233 Roosevelt Ave E
Ste 103
Battle Creek, MI 49037
Phone (269) 979-0409

2845 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 979-6333

360 E Chicago St
Ste 103
Coldwater, MI 49036
Phone (517) 278-2970

3271 W Carleton Rd
Hillsdale, MI 49242
Phone (517) 437-3879

521 E Michigan Ave
Kalamazoo, MI 49007
Phone (269) 384-6180

521 E Michigan Ave
Ste 201
Kalamazoo, MI 49007
Phone (269) 226-2656

215 E Mansion St
Ste 1H
Marshall, MI 49068
Phone (269) 789-0025

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

600 S Lakeview Ave
Ste B01
Sturgis, MI 49091
Phone (269) 651-2348

711 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691

711 S Health Parkway
Ste 1
Three Rivers, MI 49093
Phone (269) 273-6400

8816 Red Arrow Hwy
Watervliet, MI 49098
Phone (269) 384-2230

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512950400000",
    "number": "1659886810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 CARLYLE AVE",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490361058",
            "telephone_number": "419-690-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 E MICHIGAN AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490073889",
            "telephone_number": "269-349-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "LAURA",
        "middle_name": "MEGHANN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2017-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704248937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.