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TAMARA ROUSE NP
NPI 1962894105
Nurse Practitioner in Albion, MI

Active since February 25, 2015PECOS EnrolledAccepts Medicare Assignment
86.24/100
CMS Quality Rating
27931 C DR N, ALBION, MI 49224(517) 629-8311(517) 629-7952 Get Directions Write a Review

NPPES record last updated: June 4, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tamara Rouse Np NPPES

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

TAMARA ROUSE NP (NPI 1962894105) is an individual nurse practitioner in Albion, Michigan, licensed in Michigan (4704257689) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1962894105
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTAMARA ROUSECredential: NP
Location Address27931 C DR NAlbion, MI 49224-8402
Mailing Address27931 C Dr NAlbion, MI 49224-8402 · (517) 629-8311 · Fax (517) 629-7952
Phone(517) 629-8311
Fax(517) 629-7952
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 25, 2015
Last NPPES UpdateJune 4, 2015
✔ NPI 1962894105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704257689
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
27931 C DR N, Albion, MI 49224
Open in Google Maps ↗

Other Names 1

Former Name (1)Tamara Houser Np

Other Identifiers 1

Medicare PINN48080066MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tamara Rouse Np 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 ID941528343
PECOS Enrollment IDI20240326002636
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.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
52 services51 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49224 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.

86.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.8
Promoting Interoperability100
Improvement Activities40
Cost62.21

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable oxygen contents, gaseous, 1 month's supply = 1 unit E0443
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$38.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

MOHAMMAD RASHID SIDDIQUI MD
Family Medicine
27931 C DR N
ALBION, MI 49224
Calhoun County (517) 629-8416

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 Tamara Rouse's NPI number?

The NPI number for Tamara Rouse is 1962894105. It was assigned to this individual provider in the NPPES registry on February 25, 2015. The provider is also known as Tamara Houser Np.

Where is Tamara Rouse located?

Tamara Rouse practices at 27931 C Dr N, Albion, MI 49224. The listed phone number is (517) 629-8311.

What is Tamara Rouse's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Tamara Rouse enrolled in Medicare?

Yes. Tamara Rouse 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.

What insurance does Tamara Rouse accept?

Health plans from McLaren Health Plan Community and Medica list Tamara 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.

When was this NPI record last updated?

The NPPES record for Tamara Rouse was last updated on June 4, 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.