MRS. DARASOWAN ROJEPH-LIV KIECKER – Nurse Practitioner, NPI 1457821597

MRS. DARASOWAN ROJEPH-LIV KIECKER is a healthcare provider. based in Milford, Michigan. specializing in NURSE PRACTITIONER. They hold a License No. 4704262339 (MI). The NPI Number for MRS. DARASOWAN ROJEPH-LIV KIECKER is 1457821597

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MRS. DARASOWAN ROJEPH-LIV KIECKER
NPI
1457821597
Phone
(248) 470-5811
Address
13711 COMMERCE RD
Enumeration Date
2 December 2018
Last Update Date
27 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5175481900
Graduation Year
2018 (8 years ago)
PAC ID
4082959564
Group Practice PAC ID
0143737148
Professional Enrollment ID
I20190103000979
Address ID
MI488431980HO1333XAVEX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

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Provider Addresses for MRS. DARASOWAN ROJEPH-LIV KIECKER

  • Commerce Road, New Milford, Litchfield County, Connecticut, 06487, United States

    MILFORD, MI 483801317

    Phone: (248) 470-5811

    Type: Mailing

  • Beaumont Hospital - Dearborn, 18101, Oakwood Boulevard, Dearborn, Wayne County, Michigan, 48124, United States

    DEARBORN, MI 481244089

    Phone: (313) 593-7000

    Type: Location

  • 41800 W 11 MILE RD STE 109

    NOVI, MI 483751818

    Phone:

    Type: Mailing

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: 2019-01-03

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190103000979INurse PractitionerMITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes1,660331$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month27744$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes245136$0
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month20744$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes165120$0
View full utilization report →

Insurance plans in this area (ZIP 48380)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143737148View full group profile
NameSpecialtyState
Nurse PractitionerMI
Nurse PractitionerMI
General SurgeryMI
Nurse PractitionerOH
Family PracticeMI
Nurse PractitionerMI
Nurse PractitionerIL
Nurse PractitionerOH
Nurse PractitionerIN
Internal Medicine, Pediatric MedicineMI

Reviews

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Frequently asked questions

What is the registry number for MRS. DARASOWAN ROJEPH-LIV KIECKER?
The registry entry for MRS. DARASOWAN ROJEPH-LIV KIECKER shows NPI 1457821597.
Is MRS. DARASOWAN ROJEPH-LIV KIECKER's NPI status active today?
Active status means MRS. DARASOWAN ROJEPH-LIV KIECKER's NPI record is not deactivated in the public file.
What does the directory say MRS. DARASOWAN ROJEPH-LIV KIECKER does?
Insurance directories may phrase it differently, but here MRS. DARASOWAN ROJEPH-LIV KIECKER maps to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MRS. DARASOWAN ROJEPH-LIV KIECKER tied to Milford, Michigan?
If you are local to Milford, Michigan, MRS. DARASOWAN ROJEPH-LIV KIECKER may be relevant to your search.
Can I export MRS. DARASOWAN ROJEPH-LIV KIECKER's record?
You can download the official NPPES record; we summarize key fields for readability.

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