KIND HOLISTIC AND PRIMARY CARE PROVIDERS
NPI 1023864527
Nurse Practitioner - Family in Van Buren Township, MI

Active since April 25, 2024
43416 HEATHERFIELD BLVD, VAN BUREN TOWNSHIP, MI 48111(313) 308-6154 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 20, 2024, May 15, 2024, Apr 25, 2024 (3 updates tracked since 2024).

About Kind Holistic And Primary Care Providers NPPES

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

KIND HOLISTIC AND PRIMARY CARE PROVIDERS (NPI 1023864527) is a healthcare organization registered as a family in Van Buren Township, Michigan and active in the NPI registry since April 2024. The organization lists Shalina D Nevins, Ceo, as its authorized official.

NPPES Registry Identity

NPI1023864527
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameKIND HOLISTIC AND PRIMARY CARE PROVIDERS
Location Address43416 HEATHERFIELD BLVDVan Buren Township, MI 48111-4953
Mailing Address43416 Heatherfield BlvdVan Buren Township, MI 48111-4953 · (313) 308-6154
Organization SubpartNo
Authorized OfficialShalina D NevinsCeo · (313) 308-6154
Enumeration DateApril 25, 2024
Last NPPES UpdateNovember 20, 20243 updates tracked since enumeration
NPPES CertifiedNovember 20, 2024
✔ NPI 1023864527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
43416 HEATHERFIELD BLVD, Van Buren Township, MI 48111

Other Names 1

Doing Business AsKind Holistic And Primary Care Providers

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kind Holistic And Primary Care Providers is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kind Holistic And Primary Care Providers, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1588443444
24801 5 MILE RD STE REDFORD
Redford, MI 48239
(734) 299-6735
✔ PECOS✔ Accepts Medicare14 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kind Holistic And Primary Care Providers's NPI number?

The NPI number for Kind Holistic And Primary Care Providers is 1023864527. It was assigned to this organization in the NPPES registry on April 25, 2024.

Where is Kind Holistic And Primary Care Providers located?

Kind Holistic And Primary Care Providers is located at 43416 Heatherfield Blvd, Van Buren Township, MI 48111. The listed phone number is (313) 308-6154.

What is Kind Holistic And Primary Care Providers's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kind Holistic And Primary Care Providers enrolled in Medicare?

Yes. Kind Holistic And Primary Care Providers is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kind Holistic And Primary Care Providers?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Kind Holistic And Primary Care Providers. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kind Holistic And Primary Care Providers accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Kind Holistic And Primary Care Providers 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 Kind Holistic And Primary Care Providers was last updated on November 20, 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.