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PINE HOLLOW PARTNER LLC
NPI 1275984700
Nurse Practitioner in East Lansing, MI

Active since June 27, 2016
6200 PINE HOLLOW DR, STE 400, EAST LANSING, MI 48823(517) 339-1676(517) 339-2716 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 3, 2022, Sep 22, 2022, Jun 27, 2016 (3 updates tracked since 2016).

About Pine Hollow Partner Llc NPPES

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

PINE HOLLOW PARTNER LLC (NPI 1275984700) is a healthcare organization registered as a nurse practitioner in East Lansing, Michigan and active in the NPI registry since June 2016. The organization lists Iris Zink, Owner/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1275984700
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NamePINE HOLLOW PARTNER LLC
Location Address6200 PINE HOLLOW DR, STE 400East Lansing, MI 48823-9700
Mailing Address6200 Pine Hollow Dr, Ste 400East Lansing, MI 48823-9700 · (517) 339-1676 · Fax (517) 339-2716
Phone(517) 339-1676
Fax(517) 339-2716
Organization SubpartNo
Authorized OfficialIris ZinkOwner/authorized Official · (517) 339-1676
Enumeration DateJune 27, 2016
Last NPPES UpdateOctober 3, 20223 updates tracked since enumeration
NPPES CertifiedOctober 3, 2022
✔ NPI 1275984700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
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.
6200 PINE HOLLOW DR, East Lansing, MI 48823
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.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)

Pine Hollow Partner Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Pine Hollow Partner LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Kelsey Garred, NP
Nurse Practitioner
NPI 1003688268
6200 PINE HOLLOW DR STE 400
East Lansing, MI 48823
(517) 339-1676
✔ PECOS✔ Accepts MedicareSame address
Katherine Mamo, FNP
Nurse Practitioner
NPI 1679234934
6200 PINE HOLLOW DR STE 400
East Lansing, MI 48823
(517) 339-1676
✔ PECOS✔ Accepts MedicareSame address
Claudia Rivera-Salas
Nurse Practitioner
NPI 1427606797
6200 PINE HOLLOW DR STE 400
East Lansing, MI 48823
(517) 339-1676
✔ PECOS✔ Accepts MedicareSame address
Christopher Title, FNP-BC
Nurse Practitioner
NPI 1578068235
6200 PINE HOLLOW DR STE 400
East Lansing, MI 48823
(517) 339-1676
✔ PECOS✔ Accepts MedicareSame address
Madison Bloom, DNP, FNP-BC
Nurse Practitioner
NPI 1003680919
3945 OKEMOS RD STE A2
Okemos, MI 48864
(517) 339-1676
✔ PECOS✔ Accepts Medicare5.0 mi
Iris Zink, NP
Nurse Practitioner
NPI 1487729752
4333 W ST JOE HWY
Lansing, MI 48917
(517) 321-1525
✔ PECOS✔ Accepts Medicare9.0 mi
Jennifer Clark, AGNP
Nurse Practitioner
NPI 1679001192
100 LAKE TRAVERSE DR
Sisseton, SD 57262
(605) 698-7606
✔ PECOS✔ Accepts Medicare655 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 Pine Hollow Partner LLC's NPI number?

The NPI number for Pine Hollow Partner LLC is 1275984700. It was assigned to this organization in the NPPES registry on June 27, 2016.

Where is Pine Hollow Partner LLC located?

Pine Hollow Partner LLC is located at 6200 Pine Hollow Dr Ste 400, East Lansing, MI 48823. The listed phone number is (517) 339-1676.

What is Pine Hollow Partner LLC's specialty?

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

Is Pine Hollow Partner LLC enrolled in Medicare?

Yes. Pine Hollow Partner LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pine Hollow Partner LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Pine Hollow Partner LLC. 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. Of these, 4 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Pine Hollow Partner LLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Pine Hollow Partner LLC 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 Pine Hollow Partner LLC was last updated on October 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.