DEREK PAUL ROUSE CRNA
NPI 1053704270
Nurse Anesthetist, Certified Registered in Kalamazoo, MI
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
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Derek Paul Rouse Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Derek Rouse reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kalamazoo, MI 49008
- Reassigned Medicare billing, Michigan enrollment
- 152 clinicians in this Medicare group
Portage, MI 49024
- Reassigned Medicare billing, Michigan enrollment
- 36 clinicians in this Medicare group
Saint Joseph, MI 49085
- Reassigned Medicare billing, Michigan enrollment
- 249 clinicians in this Medicare group
Fremont, IN 46737
- Reassigned Medicare billing, Michigan enrollment
- 26 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, MIMedicare 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.
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.
KALAMAZOO, MI 49008
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
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.
Where is Derek Rouse located?
Derek Rouse practices at 900 Peeler St, Kalamazoo, MI 49008. The listed phone number is (269) 345-8618.
What is Derek Rouse's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Derek Rouse enrolled in Medicare?
Yes. Derek Rouse is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Derek Rouse's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Derek Rouse reassigns Medicare benefits to 4 organizations: Kalamazoo Anesthesiology P C (Kalamazoo, MI), Apollo Medical Group Of Michigan PLLC (Portage, MI), Lakeland Hospitals At Niles And St Joseph, Inc (Saint Joseph, MI) and Rest Assured Anesthesia Management (Fremont, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Derek Rouse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Derek Rouse accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Derek Rouse as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Derek Rouse affiliated with any hospitals?
According to CMS data, Derek Rouse is affiliated with Lakeland Hospital, St Joseph.
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.
# Derek Paul Rouse, CRNA · NPI 1053704270
Nurse Anesthetist, Certified Registered physician in Kalamazoo, Michigan. Individual provider, active in the CMS NPPES registry since March 12, 2015.
## Identity
- **NPI:** 1053704270 (Entity type: Individual)
- **Enumerated:** March 12, 2015
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 4704265882 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 900 PEELER ST, Kalamazoo, MI 49008-2300
- **Phone:** (269) 345-8618 · **Fax:** (269) 345-1508
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Kalamazoo Anesthesiology P C (NPI 1407821796, Kalamazoo, MI); Apollo Medical Group Of Michigan PLLC (NPI 1699582593, Portage, MI); Lakeland Hospitals At Niles And St Joseph, Inc (NPI 1598305641, Saint Joseph, MI); Rest Assured Anesthesia Management (NPI 1063284891, Fremont, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** March 12, 2015
- **Other identifiers:** Other 4704265882 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1053704270) · Data from the CMS NPPES public registry.