DEREK PAUL ROUSE CRNA
NPI 1053704270
Nurse Anesthetist, Certified Registered in Kalamazoo, MI

Q: What is Derek Rouse's NPI number?

The NPI number for Derek Rouse is 1053704270. It was assigned to this individual provider in the NPPES registry on March 12, 2015. The provider is also known as Derek Rouse Brissette.

Q: What is Derek Rouse's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Derek Rouse was last updated on March 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 12, 2015

100/100

CMS Quality Rating

900 PEELER ST, KALAMAZOO, MI 49008(269) 345-8618(269) 345-1508 Get Directions Write a Review

NPPES record last updated: March 12, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Derek Paul Rouse Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEREK PAUL ROUSE CRNA (NPI 1053704270) is an individual nurse anesthetist, certified registered in Kalamazoo, Michigan, licensed in Michigan (4704265882) and active in the NPI registry since March 2015. He is affiliated with Lakeland Hospital, St Joseph and is a graduate of Other (2014).

NPPES Registry Identity

NPI1053704270

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameDEREK PAUL ROUSECredential: CRNA

Location Address900 PEELER STKalamazoo, MI 49008-2300

Mailing Address2542 Tuson Dr, Apt 1bWaterford, MI 48329-3366 · (248) 408-6964

Phone(269) 345-8618

Fax(269) 345-1508

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMarch 12, 2015

✔ NPI 1053704270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in MI · 4704265882

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

900 PEELER ST, Kalamazoo, MI 49008

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Other Names 1

Former Name (1)Derek Rouse Brissette

Other Identifiers 1

Other4704265882MI · Department Of Nursing & Regulatory Affairs - Board Of Nursing

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derek Paul Rouse Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597084921

PECOS Enrollment IDI20150506000272

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on large bowel using an endoscope 00811

Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.

20 services20 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lakeland Hospital, St Joseph

Acute Care Hospitals · St Joseph, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230021

Location1234 Napier AvenueSt Joseph, MI 49085 · Berrien County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

87.54

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNE COLONIUS BSN, SRNA

Nurse Anesthetist, Certified Registered