Individual provider Active NPI

Katelyn Marie Cleypool, DPM

  • Foot Surgery Podiatrist
  • Rockford, MI
National Provider Identifier
1881113496
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
5901400565 Issued in MI
Practice address
6050 Northland Dr NE Ste 180
Rockford, MI 49341-9258
Phone
(616) 363-9833
Fax
(224) 220-9743
NPI assigned
Sep 14, 2017
Reactivated
Apr 18, 2022
Last updated
Jul 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X 5901400565 MI Primary

Addresses

Primary practice location

6050 Northland Dr NE Ste 180
Rockford, MI 49341-9258

Mailing address

6050 Northland Dr NE
Rockford, MI 49341-9256
Phone (616) 363-9833

Other practice location 1

1450 Farr Rd
Norton Shores, MI 49444-9770
Phone (231) 739-7606

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250619001643 MI Practitioner - Podiatry 0244612406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6050 Northland Dr NE
Suite 180
Rockford, MI 49341-9258
Phone (616) 363-9833

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue72
Removal or shaving of skin growth12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901400565MIMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Specialists of West Michigan P L L C Multi-Specialty CurrentSince Aug 1, 2025 Accepting new patients
Foot & Ankle Specialists of West Michigan P L L C Multi-Specialty CurrentSince Aug 1, 2025 Accepting new patients

Locations

1660 Feehanville Dr
Ste 450
Mt Prospect, IL 60056
Phone (847) 250-9629

2144 East Paris Ave SE
Ste 100
Grand Rapids, MI 49546
Phone (616) 281-0666

1450 Farr Rd
Norton Shores, MI 49444
Phone (231) 739-7606

6050 Northland Dr NE
Ste 180
Rockford, MI 49341
Phone (616) 363-9833

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

Hospital & facility affiliations 4

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": "1505347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1881113496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 NORTHLAND DR NE",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493419256",
            "telephone_number": "616-363-9833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 NORTHLAND DR NE STE 180",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493419258",
            "telephone_number": "616-363-9833",
            "fax_number": "224-220-9743"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1450 Farr Rd",
            "address_purpose": "LOCATION",
            "city": "Norton Shores",
            "state": "MI",
            "postal_code": "494449770",
            "country_code": "US",
            "telephone_number": "231-739-7606",
            "fax_number": "224-220-9743",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEYPOOL",
        "first_name": "KATELYN",
        "middle_name": "MARIE",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-14",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "deactivation_date": "2022-03-25",
        "reactivation_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "MI",
            "license": "5901400565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, MI

Sources for this page

Verify at the official NPI Registry.