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SHORELINE PEDIATRICS PLC
NPI 1609874643
Pediatrics in Muskegon, MI

Active since July 13, 2005CLIA 23D0379768 · Waiver
684 HARVEY ST, SUITE 201, MUSKEGON, MI 49442(231) 773-7837(231) 773-7943 Get Directions Write a Review

NPPES record last updated: April 14, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 14, 2023, Feb 27, 2023, Jul 21, 2022 (3 updates tracked since 2022).

About Shoreline Pediatrics Plc NPPES

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

SHORELINE PEDIATRICS PLC (NPI 1609874643) is a healthcare organization registered as a pediatrics in Muskegon, Michigan and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Leanne Kolenda, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1609874643
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSHORELINE PEDIATRICS PLC
Location Address684 HARVEY ST, SUITE 201Muskegon, MI 49442-4274
Mailing Address2680 Vulcan StNorton Shores, MI 49444-2344 · (231) 773-7837 · Fax (231) 773-7943
Phone(231) 773-7837
Fax(231) 773-7943
Organization SubpartNo
Authorized OfficialLeanne KolendaPractice Manager · (231) 773-7837
Enumeration DateJuly 13, 2005
Last NPPES UpdateApril 14, 20233 updates tracked since enumeration
NPPES CertifiedApril 14, 2023
✔ NPI 1609874643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
684 HARVEY ST, Muskegon, MI 49442
Open in Google Maps ↗

Other Identifiers 1

Other500F113130MI · Bcbs Michigan

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 Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 23D0379768

Shoreline Pediatrics Plc · Norton Shores, MI
Active · expires Aug 31, 2026
CLIA Number23D0379768
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorJennifer R. Hubbard
Laboratory Phone(231) 777-2732
Laboratory LocationShoreline Pediatrics Plc2680 Vulcan Street, Norton Shores, MI 49444
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

DR. JON HINDERER D.O.
Internal Medicine
684 HARVEY ST
MUSKEGON, MI 49442
Muskegon County (231) 777-5906
APPLEVIEW WOMEN'S HEALTH CARE, P.C.
Obstetrics & Gynecology
684 HARVEY ST, SUITE 102
MUSKEGON, MI 49442
Muskegon County (231) 777-2748
DANNY D. MIKESELL D.O.
Pediatrics
684 HARVEY ST, STE 201
MUSKEGON, MI 49442
Muskegon County (231) 773-7837
DR. ROBINGTON J.O. WOODS D.O.
Pediatrics
684 HARVEY ST, SUITE 201
MUSKEGON, MI 49442
Muskegon County (231) 773-7837
JENNIFER KING MD
Pediatrics
684 HARVEY ST, SUITE 201
MUSKEGON, MI 49442
Muskegon County (231) 777-2732
MRS. KIMBERLY KAY FENBERT DNP, CPNP
Nurse Practitioner (Pediatrics)
684 HARVEY ST, STE 201
MUSKEGON, MI 49442
Muskegon County (231) 773-7837

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 Shoreline Pediatrics Plc's NPI number?

The NPI number for Shoreline Pediatrics Plc is 1609874643. It was assigned to this organization in the NPPES registry on July 13, 2005.

Where is Shoreline Pediatrics Plc located?

Shoreline Pediatrics Plc is located at 684 Harvey St Suite 201, Muskegon, MI 49442. The listed phone number is (231) 773-7837.

What is Shoreline Pediatrics Plc's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Shoreline Pediatrics Plc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 23D0379768) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Shoreline Pediatrics Plc accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Shoreline Pediatrics Plc 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 Shoreline Pediatrics Plc was last updated on April 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.