Individual provider Active NPI

Robin D Moffitt, NP-C

  • Family Nurse Practitioner
  • Sturgis, MI
National Provider Identifier
1790016301
Registry record updated Jan 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704246809 Issued in MI
Practice address
1717 E Chicago Rd
Suite 2
Sturgis, MI 49091-8524
Phone
(269) 651-4744
NPI assigned
Jan 21, 2010
Last updated
Jan 28, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2011

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 4704246809 MI Primary
Emergency Medicine Physician 207P00000X 4704246809 MI

Addresses

Primary practice location

1717 E Chicago Rd
Suite 2
Sturgis, MI 49091-8524

Mailing address

1717 E Chicago Rd
Suite 2
Sturgis, MI 49091-8524
Phone (269) 651-4744

Other identifiers 1

IdentifierTypeStateIssuer
1790016301MedicaidMI

Other names 1

  • Robin D Kessler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20100807000082 IN Practitioner - Nurse Practitioner 7416080783 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cameron Memorial Community Hospital IncGroup PAC ID 9234020835, shared by 8 NPIs, 83 clinicians

Practice addresses (Care Compare)

1381 N Wayne St
Angola, IN 46703-2348
Phone (260) 665-8222

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cameron Memorial Community Hospital, Inc. CurrentSince Dec 21, 2020 Accepting new patients
Cameron Memorial Community Hospital, Inc Family CurrentSince Dec 21, 2020 Accepting new patients
Cameron Memorial Community Hospital Inc Past Accepting new patients

Locations

306 E Maumee St
Angola, IN 46703
Phone (260) 667-5335

3250 Intertech Dr
Ste A
Angola, IN 46703
Phone (260) 665-2646

416 E Maumee St
Angola, IN 46703
Phone (260) 665-2141

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296172800000",
    "number": "1790016301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 E CHICAGO RD",
            "address_2": "SUITE 2",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490918524",
            "telephone_number": "269-651-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 E CHICAGO RD",
            "address_2": "SUITE 2",
            "city": "STURGIS",
            "state": "MI",
            "postal_code": "490918524",
            "telephone_number": "269-651-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFITT",
        "first_name": "ROBIN",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-21",
        "last_updated": "2011-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704246809",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4704246809",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790016301",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBIN",
            "last_name": "KESSLER",
            "middle_name": "D",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sturgis, MI

Sources for this page

Verify at the official NPI Registry.