NPIMap

Individual provider Active NPI

Carol A Vorenkamp-Cooper, DO

  • Family Medicine Physician
  • Owosso, MI
National Provider Identifier
1669461992
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101010711 Issued in MI
Practice address
100 Health Park Dr
Ste 101
Owosso, MI 48867-1296
Phone
(989) 729-2255
Fax
(989) 729-4050
NPI assigned
Oct 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101010711 MI Primary

Addresses

Primary practice location

100 Health Park Dr
Ste 101
Owosso, MI 48867-1296

Mailing address

100 Health Park Dr
Ste 101
Owosso, MI 48867-1296
Phone (989) 729-2255

Other identifiers 1

IdentifierTypeStateIssuer
1669461992MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100120000833 MI Practitioner - Family Practice 4688716228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorial HospitalGroup PAC ID 8527976497, 210 clinicians

Practice addresses (Care Compare)

100 Health Park Dr
Suite 101
Owosso, MI 48867-1296
Phone (989) 729-2255

Hospital & facility affiliations

  • Residential Home Health and Hospice Home health agency, Lapeer, MI, CCN 237495
  • Memorial Healthcare Home health agency, Owosso, MI, CCN 237101
  • Memorial Healthcare Hospital, Owosso, MI, CCN 230121
  • Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230

Merit-based Incentive Payment System (MIPS)

Final score
82.58 of 100Reported as group
Quality
58.15
Promoting interoperability
100
Improvement activities
40
Cost
74.45

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Family Medicine Current Accepting new patients
Memorial Hospital CurrentSince Jun 1, 2014 Accepting new patients
Memorial Hospital Family Medicine CurrentSince Jun 1, 2014 Accepting new patients
McLaren Flint Family Medicine Past Accepting new patients
Memorial Hospital Past Accepting new patients

Locations

9000 Peet Rd
Chesaning, MI 48616
Phone (989) 720-2273

100 Health Park Dr
Ste 101
Owosso, MI 48867
Phone (989) 725-8688

3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004

Interoperability endpoints

  • Direct secure messaging: c.vorenkamp@memorialhealthcare.midirect.net
  • Direct secure messaging: carolvorenkamp@memh.allscriptsdirect.net

Organizations & group practices 9

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 6

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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1669461992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HEALTH PARK DR",
            "address_2": "STE 101",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488671296",
            "telephone_number": "989-729-2255",
            "fax_number": "989-729-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HEALTH PARK DR",
            "address_2": "STE 101",
            "city": "OWOSSO",
            "state": "MI",
            "postal_code": "488671296",
            "telephone_number": "989-729-2255",
            "fax_number": "989-729-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VORENKAMP-COOPER",
        "first_name": "CAROL",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101010711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669461992",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owosso, MI

Sources for this page

Verify at the official NPI Registry.