Individual provider Active NPI

Katherine Lepar, DNP, FNP-BC

  • Family Nurse Practitioner
  • Clinton Township, MI
National Provider Identifier
1720863186
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704327015 Issued in MI
Practice address
39425 Garfield Rd Ste 24
Clinton Township, MI 48038-4651
Phone
(586) 649-3181
NPI assigned
Aug 25, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704327015 MI Primary

Addresses

Primary practice location

39425 Garfield Rd Ste 24
Clinton Township, MI 48038-4651

Mailing address

2107 E Olanta
Wixom, MI 48393-1344
Phone (248) 622-9383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL, KY, SC4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20230905001999 MI Practitioner - Nurse Practitioner 3971966276 Reassigns benefits to 2 organizations
I20240604001719 FL Practitioner - Nurse Practitioner 3971966276 Reassigns benefits to 1 organization
I20250124002618 KY Practitioner - Nurse Practitioner 3971966276 Reassigns benefits to 1 organization
I20250203003622 SC Practitioner - Nurse Practitioner 3971966276 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704327015MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ih Physician Services, PC CurrentSince Feb 25, 2025 Accepting new patients
Molina Care Connections, LLC. CurrentSince Oct 16, 2023 Accepting new patients
Ih Physician Services PC CurrentSince Feb 25, 2025 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

8300 NW 33rd St
Ste 400
Doral, FL 33122
Phone (904) 229-7396

5100 Commerce Crossings Dr
Louisville, KY 40229
Phone (502) 305-6267

39425 Garfield Rd
Ste 22A
Clinton Township, MI 48038
Phone (586) 649-3181

695 Kenmoor Ave SE
Ste B1
Grand Rapids, MI 49546
Phone (616) 438-9902

26211 Central Park Blvd
Ste 600
Southfield, MI 48076
Phone (248) 936-2075

4000 Eastern Sky Dr
Ste 2A
Traverse City, MI 49684
Phone (231) 715-3241

880 W Long Lake Rd
Troy, MI 48098
Phone (248) 227-6316

655 Brawley School Rd
Ste 200
Mooresville, NC 28117

4105 Faber Place Dr
Ste 120
North Charleston, SC 29405
Phone (562) 549-3966

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1720863186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 E OLANTA",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483931344",
            "telephone_number": "248-622-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39425 GARFIELD RD STE 24",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480384651",
            "telephone_number": "586-649-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEPAR",
        "first_name": "KATHERINE",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-25",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704327015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.