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MRS. KATHERINE MAMO FNP
NPI 1679234934
Nurse Practitioner in East Lansing, MI

Active since January 07, 2022PECOS EnrolledAccepts Medicare Assignment
6200 PINE HOLLOW DR STE 400, EAST LANSING, MI 48823(517) 339-1676 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 30, 2024, Apr 8, 2022, Jan 7, 2022 (3 updates tracked since 2022).

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

NPI1679234934
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. KATHERINE MAMOCredential: FNP
Location Address6200 PINE HOLLOW DR STE 400East Lansing, MI 48823-9224
Mailing Address6200 Pine Hollow Dr Ste 400East Lansing, MI 48823-9224
Phone(517) 339-1676
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 7, 2022
Last NPPES UpdateDecember 30, 20243 updates tracked since enumeration
NPPES CertifiedDecember 30, 2024
✔ NPI 1679234934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704330439
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 STE 400, East Lansing, MI 48823
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Other Names 1

Former Name (1)Mrs. Katherine Bursma Fnp

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, and ordering and referring status from the CMS PECOS system.

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.

PECOS PAC ID446646749
PECOS Enrollment IDI20220414001058
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.

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
104 services66 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services19 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
18 services18 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
16 services16 patients

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, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230230
Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County
Emergency services Birthing friendly

Sparrow Eaton Hospital

Critical Access Hospitals · Charlotte, MI
OwnershipVoluntary non-profit - Other
CMS Certification Number231327
Location321 E Harris StreetCharlotte, MI 48813 · Eaton County
Emergency services

Physician 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.

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 5

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

KELSEY GARRED NP
Nurse Practitioner (Family)
6200 PINE HOLLOW DR STE 400
EAST LANSING, MI 48823
Ingham County (517) 339-1676
ERIKA ADEL WARNER RN
Registered Nurse
6200 PINE HOLLOW DR STE 400
EAST LANSING, MI 48823
Ingham County (517) 339-1676
CLAUDIA RIVERA SALAS
Nurse Practitioner
6200 PINE HOLLOW DR STE 400
EAST LANSING, MI 48823
Ingham County (517) 339-1676
MR. CHRISTOPHER E TITLE FNP-BC
Nurse Practitioner (Family)
6200 PINE HOLLOW DR STE 400
EAST LANSING, MI 48823
Ingham County (517) 339-1676
KEYSTONE INFUSION LLC
Nurse Practitioner
6200 PINE HOLLOW DR STE 400
EAST LANSING, MI 48823
Ingham County (517) 339-1676

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.

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 2 other insurers 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 19 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.