NATHAN ROUSSE (C.N.P.) – Adult Health Nurse Practitioner, NPI 1356353791
Adult Health Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
8,105 NURSE PRACTITIONER in MI
Provider Addresses for NATHAN ROUSSE (C.N.P.)
2513 MOMENTUM PL
CHICAGO, IL 606895325
Phone: (231) 935-6080
Fax: (231) 935-6081
Type: Mailing
400 Hobart St
Cadillac, MI 496012331
Phone: (231) 876-6421
Type: Location
701 N Otsego Ave
Gaylord, MI 497351558
Phone: (989) 731-7760
Type: Location
14700 Lake Shore Dr
Charlevoix, MI 497201999
Phone: (231) 547-4024
Type: Location
1100 E Michigan Ave
Grayling, MI 497381312
Phone: (231) 344-5800
Type: Location
419 S Coral St
Kalkaska, MI 496462503
Phone: (231) 258-7777
Type: Location
1105 SIXTH ST
TRAVERSE CITY, MI 496842345
Phone: (231) 935-5000
Fax: (231) 935-6081
Type: Mailing
217, South Madison Street, Grand Traverse Commons, Traverse City, Grand Traverse County, Michigan, 49684, United States
TRAVERSE CITY, MI 496842320
Phone: (231) 922-9270
Fax: (231) 922-9271
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2006-09-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060905000338 | I | Nurse Practitioner | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 101 | 101 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 75 | 74 | $0 |
Insurance plans in this area (ZIP 60689)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MI | |
| G A S T R O E N T E R O L O G Y | MI | |
| O T O L A R Y N G O L O G Y | MI | |
| Physician Assistant | MI | |
| Family Practice | MI | |
| Orthopedic Surgery | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Family Practice | MI |
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