NATHAN ROUSSE C.N.P.
NPI 1356353791
Nurse Practitioner - Adult Health in Traverse City, MI

Active since August 13, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
217 S MADISON STREET, TRAVERSE CITY, MI 49684(231) 922-9270(231) 922-9271 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 12, 2024, Dec 29, 2020, Jul 19, 2017 (3 updates tracked since 2017).

About Nathan Rousse C.n.p. NPPES

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

NATHAN ROUSSE C.N.P. (NPI 1356353791) is an individual adult health provider in Traverse City, Michigan, licensed in Michigan (4704225508) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Munson Healthcare Grayling Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1356353791
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameNATHAN ROUSSECredential: C.N.P.
Location Address217 S MADISON STREETTraverse City, MI 49684-2320
Mailing Address1105 Sixth StTraverse City, MI 49684-2345 · (231) 935-5000 · Fax (231) 935-6081
Fax(231) 922-9271
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 13, 2006
Last NPPES UpdateNovember 12, 20243 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
✔ NPI 1356353791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in MI · 4704225508
Also ListedClinical Nurse Specialist · OncologyTaxonomy 364SX0200X · License 4704225508 (MI)
217 S MADISON STREET, Traverse City, MI 49684

Secondary Practice Locations 5

Location 11100 E Michigan AveGrayling, MI 49738-1312 · Phone (231) 344-5800
Location 2701 N Otsego AveGaylord, MI 49735-1558 · Phone (989) 731-7760
Location 314700 Lake Shore DrCharlevoix, MI 49720-1999 · Phone (231) 547-4024
Location 4400 Hobart StCadillac, MI 49601-2331 · Phone (231) 876-6421
Location 5419 S Coral StKalkaska, MI 49646-2503 · Phone (231) 258-7777

Other Identifiers 2

Medicaid4952425MI
Medicaid4952434MI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nathan Rousse C.n.p. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749284792
PECOS Enrollment IDI20060905000338
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

8

Medicare enrollment records show Nathan Rousse reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Practitioner
1105 6TH ST
Traverse City, MI 49684
  • Reassigned Medicare billing, Michigan enrollment
  • 12 clinicians in this Medicare group
Psychiatry
1105 SIXTH ST STE D6
Traverse City, MI 49684
  • Reassigned Medicare billing, Michigan enrollment
  • 156 clinicians in this Medicare group
End-Stage Renal Disease (ESRD) Treatment
415 2ND ST.
Kalkaska, MI 49646
  • Reassigned Medicare billing, Michigan enrollment
  • 90 clinicians in this Medicare group
Obstetrics & Gynecology
7985 MACKINAW TRL
Cadillac, MI 49601
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Munson Healthcare Otsego Memorial Hospital
  • 168 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
14734 PARK AVE
Charlevoix, MI 49720
  • Reassigned Medicare billing, Michigan enrollment
  • 96 clinicians in this Medicare group
Family Medicine
1200 W NORTH DOWN RIVER RD., SUITE C
Grayling, MI 49738
  • Reassigned Medicare billing, Michigan enrollment
  • 123 clinicians in this Medicare group
Internal Medicine
1100 E MICHIGAN AVE
Grayling, MI 49738
  • Reassigned Medicare billing, Michigan enrollment
  • 596 clinicians in this Medicare group
Internal Medicine
818 RIVERSIDE AVE
Adrian, MI 49221
  • Reassigned Medicare billing, Michigan enrollment
  • 237 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 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
119 services118 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
30 services30 patients

Hospital Affiliations CMS Care Compare 3

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

Munson Healthcare Grayling Hospital

Acute Care Hospitals · Grayling, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230058
Location1100 E Michigan AveGrayling, MI 49738 · Crawford County
Emergency services Birthing friendly

Munson Healthcare Cadillac Hospital

Acute Care Hospitals · Cadillac, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230081
Location400 Hobart StCadillac, MI 49601 · Wexford County
Emergency services Birthing friendly

Kalkaska Memorial Health Center

Critical Access Hospitals · Kalkaska, MI
OwnershipGovernment - Hospital District or Authority
CMS Certification Number231301
Location419 S CoralKalkaska, MI 49646 · Kalkaska County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 15

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

Internal Medicine (Hematology & Oncology)
217 S MADISON STREET, STE 2
TRAVERSE CITY, MI 49684
Internal Medicine (Hematology & Oncology)
217 S MADISON STREET
TRAVERSE, MI 49684
Nurse Practitioner (Family)
217 S MADISON STREET
TRAVERSE CITY, MI 49684
Internal Medicine (Hematology & Oncology)
217 S MADISON STREET
TRAVERSE CITY, MI 49684
Internal Medicine (Hematology & Oncology)
217 S MADISON STREET
TRAVERSE CITY, MI 49684
Nurse Practitioner
217 S MADISON STREET
TRAVERSE CITY, MI 49684
Nurse Practitioner (Adult Health)
217 S MADISON STREET
TRAVERSE CITY, MI 49684
Internal Medicine (Hematology & Oncology)
217 S MADISON STREET
TRAVERSE CITY, MI 49684

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 Nathan Rousse's NPI number?

The NPI number for Nathan Rousse is 1356353791. It was assigned to this individual provider in the NPPES registry on August 13, 2006.

Where is Nathan Rousse located?

Nathan Rousse practices at 217 S Madison Street, Traverse City, MI 49684. The listed phone number is (231) 922-9270.

What is Nathan Rousse's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Nathan Rousse enrolled in Medicare?

Yes. Nathan Rousse is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Nathan Rousse's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nathan Rousse reassigns Medicare benefits to 8 organizations: Munson Medical Center (Traverse City, MI), Munson Healthcare Cadillac (Traverse City, MI), Kalkaska Memorial Health Center (Kalkaska, MI), Munson Healthcare Cadillac (Cadillac, MI), Munson Healthcare Charlevoix Hospital (Charlevoix, MI) and 3 more organizations, listed in the Medicare section above. 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 Nathan Rousse's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nathan Rousse accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Nathan Rousse 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 Nathan Rousse affiliated with any hospitals?

According to CMS data, Nathan Rousse is affiliated with Munson Healthcare Grayling Hospital, Munson Healthcare Cadillac Hospital and Kalkaska Memorial Health Center.

When was this NPI record last updated?

The NPPES record for Nathan Rousse was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.