Individual provider Active NPI

Tamara Rouse, NP

  • Nurse Practitioner
  • Albion, MI
National Provider Identifier
1962894105
Registry record updated Jun 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704257689 Issued in MI
Practice address
27931 C Dr N
Albion, MI 49224-8402
Phone
(517) 629-8311
Fax
(517) 629-7952
NPI assigned
Feb 25, 2015
Last updated
Jun 4, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704257689 MI Primary

Addresses

Primary practice location

27931 C Dr N
Albion, MI 49224-8402

Mailing address

27931 C Dr N
Albion, MI 49224-8402
Phone (517) 629-8311

Other names 1

  • Tamara Houser Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20240326002636 MN Practitioner - Nurse Practitioner 0941528343 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians

Practice addresses (Care Compare)

14655 Galaxie Ave
Apple Valley, MN 55124-8602
Phone (651) 241-3779

8170 Old Carriage CT
Suite 100
Shakopee, MN 55379-3164
Phone (952) 428-3600

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704257689MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System CurrentSince Mar 1, 2024 Accepting new patients
St. Francis Regional Medical Center CurrentSince Mar 1, 2024 Accepting new patients
Allina Health System Current Accepting new patients
MN UC Providers LTD CurrentSince Feb 1, 2024 Accepting new patients
MN UC Providers LTD CurrentSince Feb 1, 2024 Accepting new patients
Allina Health System CurrentSince Mar 1, 2024 Accepting new patients
NPI 1083910871 Past Accepting new patients

Locations

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

415 17th Ave N
Ste 100
Hopkins, MN 55343
Phone (952) 931-1276

265 Creek Ln S
Jordan, MN 55352
Phone (952) 428-1200

13540 Grove Dr N
Maple Grove, MN 55311
Phone (952) 931-1276

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

1021 Bandana Blvd E
Ste 100
Saint Paul, MN 55108
Phone (877) 414-2533

14655 Galaxie Ave
Saint Paul, MN 55124
Phone (952) 432-4141

6150 Egan Dr
Savage, MN 55378
Phone (952) 228-2552

8170 Old Carriage Ct
Ste 100
Shakopee, MN 55379
Phone (952) 428-3600

Organizations & group practices 7

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": "1424822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433376000000",
    "number": "1962894105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27931 C DR N",
            "city": "ALBION",
            "state": "MI",
            "postal_code": "492248402",
            "telephone_number": "517-629-8311",
            "fax_number": "517-629-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27931 C DR N",
            "city": "ALBION",
            "state": "MI",
            "postal_code": "492248402",
            "telephone_number": "517-629-8311",
            "fax_number": "517-629-7952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSE",
        "first_name": "TAMARA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-25",
        "last_updated": "2015-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704257689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "HOUSER",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albion, MI

Sources for this page

Verify at the official NPI Registry.