DENISE SOLTOW HERSHEY N.P.
NPI 1710933783
Nurse Practitioner - Family in East Lansing, MI

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
804 SERVICE ROAD, ROOM A142, EAST LANSING, MI 48824(517) 353-3050 Get Directions Write a Review

NPPES record last updated: June 7, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 7, 2021, Aug 23, 2017 (2 updates tracked since 2017).

About Denise Soltow Hershey N.p. NPPES

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

DENISE SOLTOW HERSHEY N.P. (NPI 1710933783) is an individual family provider in East Lansing, Michigan, licensed in Michigan (4704150738) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Mclaren Greater Lansing, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1710933783
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDENISE SOLTOW HERSHEYCredential: N.P.
Location Address804 SERVICE ROAD, ROOM A142East Lansing, MI 48824-1313
Mailing Address804 Service Rd Ste A109bEast Lansing, MI 48824-7015 · (517) 353-4911 · Fax (517) 432-3928
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateMay 25, 2006
Last NPPES UpdateJune 7, 20212 updates tracked since enumeration
NPPES CertifiedJune 7, 2021
NPI 1710933783 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 · 4704150738
804 SERVICE ROAD, East Lansing, MI 48824

Other Names 1

Former Name (1)Denise M Soltow N.p.

Other Identifiers 2

Medicaid4554295MI
Medicaid1710933783MI

Accepted 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

Denise Soltow Hershey N.p. 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 ID1759289754
PECOS Enrollment IDI20031229000875
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

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.
34 services20 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mclaren Greater Lansing

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230167
Location2900 Collins RdLansing, MI 48910 · Ingham County
Emergency services Birthing friendly

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48824 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
76%82 patients4/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
74%132 patients4/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
33%30 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%647 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
8%102 patients1/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
90%108 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
60%354 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%354 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
70%354 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
65%354 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 16

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

Pediatrics (Pediatric Hematology-Oncology)
804 SERVICE ROAD, ROOM B240
EAST LANSING, MI 48824
Internal Medicine
804 SERVICE ROAD, ROOM A225
EAST LANSING, MI 48824
Radiology (Diagnostic Radiology)
804 SERVICE ROAD, ROOM D100
EAST LANSING, MI 48824
Family Medicine
804 SERVICE ROAD, ROOM A109
EAST LANSING, MI 48824
Radiology (Diagnostic Radiology)
804 SERVICE ROAD, ROOM A204
EAST LANSING, MI 48824
Radiology (Diagnostic Radiology)
804 SERVICE ROAD, ROOM A204
EAST LANSING, MI 48824
Physician Assistant
804 SERVICE ROAD, ROOM A142
EAST LANSING, MI 48824
Psychiatry & Neurology (Vascular Neurology)
804 SERVICE ROAD, ROOM A217
EAST LANSING, MI 48824

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 Denise Hershey's NPI number?

The NPI number for Denise Hershey is 1710933783. It was assigned to this individual provider in the NPPES registry on May 25, 2006. The provider is also known as Denise M Soltow N.P..

Where is Denise Hershey located?

Denise Hershey practices at 804 Service Road Room A142, East Lansing, MI 48824. The listed phone number is (517) 353-3050.

What is Denise Hershey's specialty?

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

Is Denise Hershey enrolled in Medicare?

Yes. Denise Hershey 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 Denise Hershey 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 Denise Hershey 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 Denise Hershey affiliated with any hospitals?

According to CMS data, Denise Hershey is affiliated with Mclaren Greater Lansing and Edward W Sparrow Hospital.

When was this NPI record last updated?

The NPPES record for Denise Hershey was last updated on June 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.