1. Home
  2. Directory
  3. Michigan
  4. Grass Lake
  5. Family Medicine
  6. NPI Profile

MRS. KATHLEEN ANZICEK DO
NPI 1336240225
Family Medicine in Grass Lake, MI

Active since September 26, 2006PECOS Enrolled
12337 E MICHIGAN AVE, GRASS LAKE, MI 49240(517) 522-8403(517) 522-4275 Get Directions Write a Review

NPPES record last updated: May 6, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 6, 2019, Aug 16, 2016 (2 updates tracked since 2016).

About Mrs. Kathleen Anzicek Do NPPES

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

MRS. KATHLEEN ANZICEK DO (NPI 1336240225) is an individual family medicine provider in Grass Lake, Michigan, licensed in Michigan (KA008052) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336240225
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMRS. KATHLEEN ANZICEKCredential: DO
Location Address12337 E MICHIGAN AVEGrass Lake, MI 49240-0246
Mailing AddressPo Box 246Grass Lake, MI 49240-0246 · (517) 522-8403 · Fax (517) 522-4275
Phone(517) 522-8403
Fax(517) 522-4275
Sole ProprietorYes
Enumeration DateSeptember 26, 2006
Last NPPES UpdateMay 6, 20192 updates tracked since enumeration
✔ NPI 1336240225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · KA008052
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12337 E MICHIGAN AVE, Grass Lake, MI 49240
Open in Google Maps ↗

Other Identifiers 8

Other015380065Bcbs Fep Program
Other0153800065Bcbs Blue Preferred
Other0153800065Blue Choice
Other0153800065Blue Care Network
Other015380065Bcbs Community Blue
Other0153800065Bcbs Ppo
Medicaid2126487MI
Other0153800065MI · Blue Cross Blue Shield

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Kathleen Anzicek Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49240 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.

Other Providers at the Same Location NPPES 4

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

DR. MARK E LEVENTER MD
Family Medicine
12337 E MICHIGAN AVE
GRASS LAKE, MI 49240
Jackson County (517) 522-8403
SANDRA R RICHARDS N.P.
Family Medicine
12337 E MICHIGAN AVE
GRASS LAKE, MI 49240
Jackson County (517) 522-8403
STEPHANIE ZAIENTZ LMSW
Social Worker (Clinical)
12337 E MICHIGAN AVE
GRASS LAKE, MI 49240
Jackson County (734) 474-0042
MS. PATTY J HOPKINS FNP
Nurse Practitioner (Family)
12337 E MICHIGAN AVE
GRASS LAKE, MI 49240
Jackson County (517) 522-8403

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 Kathleen Anzicek's NPI number?

The NPI number for Kathleen Anzicek is 1336240225. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Kathleen Anzicek located?

Kathleen Anzicek practices at 12337 E Michigan Ave, Grass Lake, MI 49240. The listed phone number is (517) 522-8403.

What is Kathleen Anzicek's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kathleen Anzicek enrolled in Medicare?

Yes. Kathleen Anzicek is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kathleen Anzicek was last updated on May 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.