Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Derek Paul Rouse, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1053704270

Derek Paul Rouse, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Kalamazoo, Michigan. Qualified in 2014, 12 years ago. Practices with Lakeland Hospitals at Niles and St Joseph Inc, a 135-clinician group. Licensed in Michigan.

Years since qualifying
12
Licensed in
MI
In the registry since
2015
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

900 Peeler St
Kalamazoo, MI 49008-2300
Phone: (269) 345-8618
Fax: (269) 345-1508
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 4704265882 (MI)

Record details

NPI number1053704270
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedMarch 12, 2015
Last updated in NPPESMarch 12, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Lakeland Hospitals At Niles And St Joseph Inc — 135 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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