Individual provider Active NPI

Emily Ann Sossoman, NP

  • Family Nurse Practitioner
  • Dowagiac, MI
National Provider Identifier
1750829784
Registry record updated Feb 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704290367 Issued in MI
Practice address
32652 Kno
Dowagiac, MI 49047-9805
Phone
(269) 782-4141
NPI assigned
Feb 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2017

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 4704290367 MI Primary

Addresses

Primary practice location

32652 Kno
Dowagiac, MI 49047-9805

Mailing address

32652 Kno
Dowagiac, MI 49047-9805
Phone (269) 782-4141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170306000200 TX Practitioner - Nurse Practitioner 6608150966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
67.89 of 100Reported as group
Quality
100
Promoting interoperability
0
Improvement activities
40
Cost
76.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pokagon Band of Potawatomi Indians CurrentSince Feb 20, 2017 Accepting new patients
Pokagon Band of Potawatomi Indians PastSince Jan 12, 2025 Accepting new patients

Locations

1986 Mall Pl
Benton Harbor, MI 49022
Phone (269) 945-5854

32652 Kno
Dowagiac, MI 49047
Phone (269) 782-4141

Interoperability endpoints

  • Direct secure messaging: esossoman27719@lakeland.midirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1750829784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32652 KNO",
            "city": "DOWAGIAC",
            "state": "MI",
            "postal_code": "490479805",
            "telephone_number": "269-782-4141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32652 KNO",
            "city": "DOWAGIAC",
            "state": "MI",
            "postal_code": "490479805",
            "telephone_number": "269-782-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSSOMAN",
        "first_name": "EMILY",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-10",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704290367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dowagiac, MI

Sources for this page

Verify at the official NPI Registry.