Individual provider Active NPI

Kimberlee Erison, DNP, APRN, FNP-C

  • Primary Care Nurse Practitioner
  • Birmingham, MI
National Provider Identifier
1871124974
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
4704302897 Issued in MI
Practice address
255 E Brown St
Birmingham, MI 48009-6206
Phone
(248) 593-8540
Fax
(248) 792-0605
NPI assigned
Jan 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704302897 MI
Primary Care Nurse Practitioner 363LP2300X 4704302897 MI Primary

Addresses

Primary practice location

255 E Brown St
Birmingham, MI 48009-6206

Mailing address

255 E Brown St Ste 101
Birmingham, MI 48009-6207
Phone (248) 593-8540

Other practice location 1

36700 Woodward Ave Ste 203
Bloomfield Hills, MI 48304-0930
Phone (248) 519-2959

Other names 1

  • Kimberlee Somerville Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20241223001328 MI Practitioner - Nurse Practitioner 1850828369 Reassigns benefits to 3 organizations
I20251117002585 FL Practitioner - Nurse Practitioner 1850828369

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704302897MIMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Weight Loss of Michigan PLC CurrentSince Oct 29, 2024 Accepting new patients
Integritas Wellness Institute PLC CurrentSince Oct 29, 2024 Accepting new patients
Boriboon Pediatrics PastSince Feb 1, 2020 Accepting new patients
Pediatric & Adolescent Clinic of Michigan PastSince Feb 1, 2020 Accepting new patients

Locations

36700 Woodward Ave
Ste 203
Bloomfield Hills, MI 48304
Phone (248) 519-2959

Organizations & group practices 5

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": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1871124974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 E BROWN ST STE 101",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096207",
            "telephone_number": "248-593-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E BROWN ST",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096206",
            "telephone_number": "248-593-8540",
            "fax_number": "248-792-0605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36700 Woodward Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Bloomfield Hills",
            "state": "MI",
            "postal_code": "483040930",
            "country_code": "US",
            "telephone_number": "248-519-2959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERISON",
        "first_name": "KIMBERLEE",
        "name_prefix": "Mrs.",
        "credential": "DNP, APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704302897",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704302897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLEE",
            "last_name": "SOMERVILLE",
            "credential": "BSN, RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Birmingham, MI

Sources for this page

Verify at the official NPI Registry.