Active NPI
Kimberly D. Degg, N.P.
- Gerontology Nurse Practitioner
- Westland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 4704249237
- Practice address
- 6149 N Wayne Rd
Westland, MI 48185-7128 - Phone
- (734) 728-2130
- Fax
- (734) 728-2626
- NPI assigned
- Jul 31, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 4704249237 | MI | Primary |
Addresses
Primary practice location
6149 N Wayne Rd
Westland, MI 48185-7128
Mailing address
41662 Clemens Cir
Novi, MI 48377-2864
Phone (734) 637-9527
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: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CS Pacs 3 Midwest LLC | Current | Accepting new patients | |
| Mi Pacs 2 PC | Current | Accepting new patients |
Locations
22600 W Main St
Armada, MI 48005
Phone (734) 508-4569
1014 E Grand River Ave
Brighton, MI 48116
Phone (810) 220-5222
12200 Broadbent Rd
Lansing, MI 48917
Phone (517) 731-6200
555 Highland Ave
Milford, MI 48381
Phone (248) 684-1564
3310 W Commerce Rd
Milford, MI 48380
Phone (248) 685-1400
6827 Whitehall Rd
Whitehall, MI 49461
Phone (231) 893-8730
625 36th St SW
Wyoming, MI 49509
Phone (517) 481-3715
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 and National Provider Directory roles.
-
- Hospitalist Physician
- Northville, MI
- NPI 1205418357
-
- Hospitalist Physician
- Brighton, MI
- NPI 1669901567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358899200000",
"number": "1982860839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41662 CLEMENS CIR",
"city": "NOVI",
"state": "MI",
"postal_code": "483772864",
"telephone_number": "734-637-9527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6149 N WAYNE RD",
"city": "WESTLAND",
"state": "MI",
"postal_code": "481857128",
"telephone_number": "734-728-2130",
"fax_number": "734-728-2626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGG",
"first_name": "KIMBERLY",
"middle_name": "D.",
"name_prefix": "Ms.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-31",
"last_updated": "2013-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MI",
"license": "4704249237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westland, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2013; 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.