Individual provider Active NPI

Paul Folk

  • Psychiatric/Mental Health Nurse Practitioner
  • East Lansing, MI
National Provider Identifier
1003502204
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704348555 Issued in MI
Practice address
1355 Bogue St
East Lansing, MI 48824-6207
Phone
(800) 605-6424
NPI assigned
Apr 12, 2023
Last updated
Apr 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704348555 MI Primary

Addresses

Primary practice location

1355 Bogue St
East Lansing, MI 48824-6207

Mailing address

1355 Bogue St
East Lansing, MI 48824-6207
Phone (800) 605-6424

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, NY, CO3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230829003079 MI Practitioner - Nurse Practitioner 8921461666 Reassigns benefits to 2 organizations
I20231221002873 NY Practitioner - Nurse Practitioner 8921461666 Reassigns benefits to 1 organization
I20250226000286 CO Practitioner - Nurse Practitioner 8921461666 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

720 S Colorado Blvd
PH North
Denver, CO 80246-1904
Phone (844) 843-7279

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aldad Medical PC CurrentSince Aug 1, 2023 Accepting new patients
Aldad Medical PC CurrentSince Dec 1, 2023 Accepting new patients
Loomhealth LLC Psychiatric/Mental Health CurrentSince Jan 19, 2026 Accepting new patients
Circle Psychiatry Group PLLC Psychiatric/Mental Health CurrentSince Feb 21, 2025 Accepting new patients
Aldad Medical PC CurrentSince Aug 1, 2023 Accepting new patients
Sondermind Provider Network LLC Psychiatric/Mental Health CurrentSince Sep 1, 2025 Accepting new patients
Circle Psychiatry Group PLLC Psychiatric/Mental Health Current Accepting new patients

Locations

2960 N Circle Dr
Ste 200
Colorado Springs, CO 80909
Phone (719) 387-7900

5376 Tomah Dr
Ste 201
Colorado Springs, CO 80918
Phone (253) 906-3454

1500 N Grant St
#7227
Denver, CO 80203
Phone (734) 260-6030

720 S Colorado Blvd
Ph N
Glendale, CO 80246
Phone (833) 988-0589

200 S 1st St
Ann Arbor, MI 48104
Phone (718) 909-0464

2723 S State St
Ste 150
Ann Arbor, MI 48104
Phone (734) 316-7880

400 Renaissance Ctr
Ste 2600
Detroit, MI 48243
Phone (248) 599-1582

27111 76th Ave
North New Hyde Pk, NY 11040
Phone (718) 289-2100

510 Hempstead Tpke
Rm 203
West Hempstead, NY 11552
Phone 51650572001051

Interoperability endpoints

  • Direct secure messaging: paul.folk.1@31925.direct.athenahealth.com
  • Direct secure messaging: pfolk489363@direct.hfhs.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1003502204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 BOGUE ST",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488246207",
            "telephone_number": "800-605-6424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 BOGUE ST",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488246207",
            "telephone_number": "800-605-6424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLK",
        "first_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704348555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.