Kailey Louise Rider, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F03220441 Issued in MI

Practice address

815 Business Park Dr Ste a
Traverse City, MI 49686-8683

Phone

(231) 421-6921

NPI assigned

Mar 13, 2023

Last updated

Mar 13, 2023By the provider in NPPES

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

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chronic Care Management LLCGroup PAC ID 7214150770, 10 clinicians

Great Lakes Therapy Housecalls PCGroup PAC ID 7719876580, shared by 2 NPIs, 71 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Great Lakes Home Healthcare Specialists LLC Home health agency, Traverse City, MI, CCN 239304
• Residential Home Health and Hospice Home health agency, Saginaw, MI, CCN 239152
• Munson Home Care Home health agency, Traverse City, MI, CCN 237025
• Advisacare Solutions of Northern Michigan, LLC Home health agency, Charlevoix, MI, CCN 237042
• Hospice of Mecosta County Hospice, Big Rapids, MI, CCN 231556
• Munson Medical Center Hospital, Traverse City, MI, CCN 230097

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: npalliative.kaileyrider@149243.advancedmd-direct.com

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.

• Chronic Care Management LLC

  • Family Medicine Physician
  • Traverse City, MI
  • NPI 1730506726

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Advisacare Solutions of Northern Michigan, LLC

  • Home Health Agency
  • Charlevoix, MI
  • NPI 1659914810
  Care Compare affiliation
• Great Lakes Home Healthcare Specialists, LLC

  • Home Health Agency
  • Traverse City, MI
  • NPI 1417374075
  Care Compare affiliation
• Hospice of Michigan, Inc.

  dba Hospice of Mecosta County

  • Community Based Hospice Care Agency
  • Big Rapids, MI
  • NPI 1497790323
  Care Compare affiliation
• Munson Home Care

  • Home Health Agency
  • Traverse City, MI
  • NPI 1326002577
  Care Compare affiliation
• Munson Medical Center

  • General Acute Care Hospital
  • Traverse City, MI
  • NPI 1952307852
  Care Compare affiliation
• Residential Home Health and Hospice, Inc.

  • Home Health Agency
  • Saginaw, MI
  • NPI 1083341168
  Care Compare affiliation

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1679274179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 WAXWING DR",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496968578",
            "telephone_number": "517-617-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 BUSINESS PARK DR STE A",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496868683",
            "telephone_number": "231-421-6921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDER",
        "first_name": "KAILEY",
        "middle_name": "LOUISE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "F03220441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan L Ricksgers, RN
• Jennifer M. Rico, LBSW
• Julia Anne Riddle, D.O.
• Tracy Lynne Riddle, D.O.
• Jane C Riddoch
• Ridge & Swale Counseling LLC
• Andrew Riegel, D.O.
• Apryl Rieger
• Janelle Rieman, LPC
• Miriam Janelle Rienstra-Bareman, MPH, MD

• Family Nurse Practitioner in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.