MRS. KATHERINE MAMO FNP
NPI 1679234934
Nurse Practitioner in East Lansing, MI
About Mrs. Katherine Mamo Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KATHERINE MAMO FNP (NPI 1679234934) is an individual nurse practitioner in East Lansing, Michigan, licensed in Michigan (4704330439) and active in the NPI registry since January 2022. She is enrolled in Medicare PECOS, is affiliated with Edward W Sparrow Hospital, and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Katherine Mamo Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Katherine Mamo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
East Lansing, MI 48823
- Reassigned Medicare billing, Michigan enrollment
- 7 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Edward W Sparrow Hospital
Acute Care Hospitals · Lansing, MISparrow Eaton Hospital
Critical Access Hospitals · Charlotte, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48823 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
EAST LANSING, MI 48823
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 Katherine Mamo's NPI number?
The NPI number for Katherine Mamo is 1679234934. It was assigned to this individual provider in the NPPES registry on January 7, 2022. The provider is also known as Mrs. Katherine Bursma Fnp.
Where is Katherine Mamo located?
Katherine Mamo practices at 6200 Pine Hollow Dr Ste 400, East Lansing, MI 48823. The listed phone number is (517) 339-1676.
What is Katherine Mamo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Katherine Mamo enrolled in Medicare?
Yes. Katherine Mamo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Katherine Mamo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Mamo reassigns Medicare benefits to Pine Hollow Partner LLC (East Lansing, MI). The 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 Katherine Mamo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Katherine Mamo 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 1 other insurer list Katherine Mamo 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.
Is Katherine Mamo affiliated with any hospitals?
According to CMS data, Katherine Mamo is affiliated with Edward W Sparrow Hospital and Sparrow Eaton Hospital.
When was this NPI record last updated?
The NPPES record for Katherine Mamo was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Mrs. Katherine Mamo, FNP · NPI 1679234934
Nurse Practitioner physician in East Lansing, Michigan. Individual provider, active in the CMS NPPES registry since January 7, 2022.
## Identity
- **NPI:** 1679234934 (Entity type: Individual)
- **Enumerated:** January 7, 2022
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 4704330439 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 6200 PINE HOLLOW DR STE 400, East Lansing, MI 48823-9224
- **Phone:** (517) 339-1676
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Pine Hollow Partner LLC (NPI 1275984700, East Lansing, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** December 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1679234934) · Data from the CMS NPPES public registry.