Individual provider Active NPI

Nathen Joel Kokmeyer, FNP-C

  • Nurse Practitioner
  • Kalamazoo, MI
National Provider Identifier
1760086383
Registry record updated Feb 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704294652 Issued in MI
Practice address
601 John St
Kalamazoo, MI 49007-5341
Phone
(269) 245-8580
Fax
(269) 341-8294
NPI assigned
Nov 24, 2020
Last updated
Feb 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 19088110315 MI
Nurse Practitioner 363L00000X 4704294652 MI Primary

Addresses

Primary practice location

601 John St
Kalamazoo, MI 49007-5341

Mailing address

601 John St
Kalamazoo, MI 49007-5341

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct Bronson Healthcare Group

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
I20210108001833 MI Practitioner - Nurse Practitioner 8325451487 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
CH MSSP Services Mi PLLCGroup PAC ID 2961862800, 44 clinicians
Northstar Palliative Care IncGroup PAC ID 6800148677, 26 clinicians
Bronson Methodist HospitalGroup PAC ID 0244148633, 721 clinicians

Practice addresses (Care Compare)

2102 Orleans St
Detroit, MI 48207-2769
Phone (337) 991-9276

2366 Oak Valley Dr
Ann Arbor, MI 48103-8944
Phone (877) 227-8823

7100 Stadium Dr
Kalamazoo, MI 49009-9423
Phone (269) 345-0273

805 John St
Kalamazoo, MI 49001-2854
Phone (269) 286-7170

Merit-based Incentive Payment System (MIPS)

Final score
86.43 of 100Reported as group
Quality
75.38
Promoting interoperability
100
Improvement activities
40
Cost
79.38

Merit-based Incentive Payment System (MIPS)

Final score
87.91 of 100Reported as group
Quality
83.03
Promoting interoperability
100
Improvement activities
40
Cost
76.65

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704294652MIMDNurse Practitioner
19088110315MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Palliative Care Inc CurrentSince Jan 1, 2026 Accepting new patients
Bronson Battle Creek Hospital Nurse Practitioner CurrentSince Feb 1, 2021 Accepting new patients
Hospice Care of Southwest Michigan CurrentSince Dec 1, 2022 Accepting new patients
Bronson Methodist Hospital CurrentSince Feb 1, 2021 Accepting new patients
Hospice Care of Southwest Michigan CurrentSince Dec 1, 2022 Accepting new patients
CH MSSP Services Mi PLLC CurrentSince Aug 19, 2025 Accepting new patients
Curana Health of Michigan PLLC Nurse Practitioner CurrentSince Aug 19, 2025 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Feb 1, 2021 Accepting new patients

Locations

2366 Oak Valley Dr
Ann Arbor, MI 48103
Phone (734) 662-5999

2366 Oak Valley Dr
#A
Ann Arbor, MI 48103

300 North Ave
Battle Creek, MI 49017
Phone (269) 966-8000

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

15063 Gratiot Ave
Detroit, MI 48205
Phone (313) 372-4065

2102 Orleans St
Detroit, MI 48207
Phone (313) 462-4362

400 Renaissance Ctr
Ste 2600
Detroit, MI 48243
Phone (248) 599-1582

2000 Leonard St NE
Grand Rapids, MI 49505
Phone (616) 458-1133

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

601 John St
#39
Kalamazoo, MI 49007

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

7100 Stadium Dr
Kalamazoo, MI 49009
Phone (269) 345-0273

2255 W Centre Ave
Portage, MI 49024
Phone (269) 241-2700

Interoperability endpoints

  • Direct secure messaging: direct@direct.bronsonhg.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1606176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612483200000",
    "number": "1760086383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 JOHN ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 JOHN ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075341",
            "telephone_number": "269-245-8580",
            "fax_number": "269-341-8294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKMEYER",
        "first_name": "NATHEN",
        "middle_name": "JOEL",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-24",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "19088110315",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704294652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "affiliationName": "Bronson Healthcare Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.