Kimberly St. Onge

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704237669 Issued in MI

Practice address

6230 Hospital Dr
Cass City, MI 48726-1076

Phone

(989) 872-2410

Fax

(989) 872-2413

NPI assigned

Nov 8, 2016

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

Other names 1

• Kimberly Knoll Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kknoll45658@direct.covenanthealthcare.com

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.

• Hills & Dales General Hospital, Inc.

  • Critical Access Hospital
  • Cass City, MI
  • NPI 1154367001
  NPD

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1861934820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4675 HILL ST",
            "city": "CASS CITY",
            "state": "MI",
            "postal_code": "487261008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6230 HOSPITAL DR",
            "city": "CASS CITY",
            "state": "MI",
            "postal_code": "487261076",
            "telephone_number": "989-872-2410",
            "fax_number": "989-872-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. ONGE",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-08",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704237669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kknoll45658@direct.covenanthealthcare.com",
            "affiliation": "N",
            "address_1": "6230 Hospital Dr",
            "city": "Cass City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "487261076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "KNOLL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeffrey Michael Smarse, D.O.
• Angella Smith
• Kaitlyn Sobczak-Muntz, BT
• Kaitlyn Sosnoski, BT
• Alyssa St Peter
• Kenidee L Stanhope
• Amanda Jo Starnes, BT
• Jayme Staten
• Matthew Steely
• Amanda Stier

• Family Nurse Practitioner in Cass City, MI
• Providers in Cass 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 Apr 1, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.