MS. LIBERTY ANNE CLOUSE (MSN, APRN, FNP) – Family Nurse Practitioner, NPI 1962068544

MS. LIBERTY ANNE CLOUSE (MSN, APRN, FNP) is a healthcare provider. based in Grand haven, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, APRN, FNP. They hold a License No. 4704223230 (MI). The NPI Number for MS. LIBERTY ANNE CLOUSE (MSN, APRN, FNP) is 1962068544

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MS. LIBERTY ANNE CLOUSE (MSN, APRN, FNP)
NPI
1962068544
Phone
(616) 204-1118
Address
15055 155TH AVE
Enumeration Date
19 May 2019
Last Update Date
30 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6162130253
Graduation Year
2019 (7 years ago)
PAC ID
9537495650
Group Practice PAC ID
2466881990
Professional Enrollment ID
I20190729000226
Address ID
MI494172795GR16986RDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

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Provider Addresses for MS. LIBERTY ANNE CLOUSE (MSN, APRN, FNP)

  • 15055, 155th Avenue, Snug Harbor, Grand Haven Charter Township, Ottawa County, Michigan, 49417, United States

    GRAND HAVEN, MI 494179511

    Phone: (616) 204-1118

    Type: Mailing

  • 6401, Prairie Street, Norton Shores, Muskegon County, Michigan, 49444, United States

    NORTON SHORES, MI 494447840

    Phone: (231) 724-7800

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 64 Open Payments records for all available years, with a total value of $1,405.

Total Amount is formed as General ($1,405) + Research ($0) + Ownership ($0) = $1,405.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Novo Nordisk Inc ($338).

Total Amount

$1,405

General + Research + Ownership

Payments

64

Total payment records

General Amount

$1,405

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-07-29

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
I20190729000226INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes2112$0
View full utilization report →

Insurance plans in this area (ZIP 49417)

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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: 2466881990View full group profile
NameSpecialtyState
Family PracticeMI
-MI
Physician AssistantMI
Family PracticeMI

Reviews

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Frequently asked questions

Can I verify MS. LIBERTY ANNE CLOUSE (MSN, APRN, FNP) with an NPI only?
You can start verification with NPI 1962068544 for MS. LIBERTY ANNE CLOUSE (MSN, APRN, FNP), then check state licensing separately.
Does the file indicate MS. LIBERTY ANNE CLOUSE (MSN, APRN, FNP) is practicing under active NPI?
Directory data currently reports MS. LIBERTY ANNE CLOUSE (MSN, APRN, FNP) as active.
What taxonomy line describes MS. LIBERTY ANNE CLOUSE (MSN, APRN, FNP)?
For research purposes, treat MS. LIBERTY ANNE CLOUSE (MSN, APRN, FNP) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What area does MS. LIBERTY ANNE CLOUSE (MSN, APRN, FNP) serve?
MS. LIBERTY ANNE CLOUSE (MSN, APRN, FNP)'s listing highlights Grand Haven, Michigan; more addresses can appear in NPPES.
Is the information about MS. LIBERTY ANNE CLOUSE (MSN, APRN, FNP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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