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MIRSIDA ZHOLI NP-C
NPI 1467904367
Nurse Practitioner - Family in Pontiac, MI

Active since October 26, 2016PECOS Enrolled
114 ORCHARD LAKE RD, PONTIAC, MI 48341(248) 724-7600(248) 724-6800 Get Directions Write a Review

NPPES record last updated: January 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 27, 2026, Dec 12, 2025, Nov 4, 2016 and 1 more (4 updates tracked since 2016).

About Mirsida Zholi Np-c NPPES

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

MIRSIDA ZHOLI NP-C (NPI 1467904367) is an individual family provider in Pontiac, Michigan, licensed in Michigan (4704289178) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Pontiac.

NPPES Registry Identity

NPI1467904367
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMIRSIDA ZHOLICredential: NP-C
Location Address114 ORCHARD LAKE RDPontiac, MI 48341-2244
Mailing AddressPo Box 430150Pontiac, MI 48343-0150 · (248) 724-7600 · Fax (248) 724-6800
Phone(248) 724-7600
Fax(248) 724-6800
Sole ProprietorNo
Enumeration DateOctober 26, 2016
Last NPPES UpdateJanuary 27, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2026
✔ NPI 1467904367 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
License✔ Licensed in MI · 4704289178
114 ORCHARD LAKE RD, Pontiac, MI 48341
Open in Google Maps ↗

Secondary Practice Location 1

Location 1461 W Huron St Ste 107Pontiac, MI 48341-1601 · Phone (248) 724-7600 · Fax (248) 724-6800

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mirsida Zholi Np-c 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mirsida Zholi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Oakland Integrated Healthcare Network
Same address
Federally Qualified Health Center (FQHC)
114 ORCHARD LAKE
Pontiac, MI 48341
  • Reassigned Medicare billing, Michigan enrollment
  • 46 clinicians in this Medicare group
NPI 1962765529 (248) 724-7605
Procare Partners Health PLLC
20 mi
Nephrology
3611 CARPENTER ST STE 5
Detroit, MI 48212
  • Reassigned Medicare billing, Michigan enrollment
  • 20 clinicians in this Medicare group
NPI 1528601952 (313) 733-8286

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48341 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 20

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

MR. PHILLIP JAY ROSENBAUM
Counselor (School)
114 ORCHARD LAKE RD
PONTIAC, MI 48341
Oakland County (248) 624-3812
NINA SQUILLACE
Social Worker
114 ORCHARD LAKE RD
PONTIAC, MI 48341
Oakland County (248) 858-7766
ALISSA DRISCOLL JACOBS
Social Worker (School)
114 ORCHARD LAKE RD
PONTIAC, MI 48341
Oakland County (248) 858-7766
MICHELLE BOWDEN LMSW
Counselor
114 ORCHARD LAKE RD
PONTIAC, MI 48341
Oakland County (248) 858-7766
CYNTHIA LOUISE FARLIN MA, LPC, NCC
Counselor (Professional)
114 ORCHARD LAKE RD
PONTIAC, MI 48341
Oakland County (248) 858-7766
TARYN REEVE KOURY LLMSW
Social Worker (Clinical)
114 ORCHARD LAKE RD
PONTIAC, MI 48341
Oakland County (248) 858-7766
MS. ELLEN MAUREEN CUSHING BA
Social Worker (School)
114 ORCHARD LAKE RD
PONTIAC, MI 48341
Oakland County (248) 858-7766
OAKLAND FAMILY SERVICES
Community/Behavioral Health
114 ORCHARD LAKE RD
PONTIAC, MI 48341
Oakland County (248) 858-7766

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 Mirsida Zholi's NPI number?

The NPI number for Mirsida Zholi is 1467904367. It was assigned to this individual provider in the NPPES registry on October 26, 2016.

Where is Mirsida Zholi located?

Mirsida Zholi practices at 114 Orchard Lake Rd, Pontiac, MI 48341. The listed phone number is (248) 724-7600.

What is Mirsida Zholi's specialty?

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

Is Mirsida Zholi enrolled in Medicare?

Yes. Mirsida Zholi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mirsida Zholi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mirsida Zholi reassigns Medicare benefits to 2 organizations: Oakland Integrated Healthcare Network (Pontiac, MI) and Procare Partners Health PLLC (Detroit, MI). Each 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 Mirsida Zholi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mirsida Zholi accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Mirsida Zholi 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 Mirsida Zholi was last updated on January 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.