Individual provider Active NPI

Michael Stephen Zinn, RN

  • Family Nurse Practitioner
  • High Point, NC
National Provider Identifier
1023567989
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5017300 Issued in NC
Practice address
1580 Skeet Club Rd
High Point, NC 27265-9530
Phone
(336) 883-0029
NPI assigned
Oct 3, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 107434 OK
Family Nurse Practitioner 363LF0000X 107434 OK
Family Nurse Practitioner 363LF0000X 5017300 NC Primary

Addresses

Primary practice location

1580 Skeet Club Rd
High Point, NC 27265-9530

Mailing address

645 N Main St
High Point, NC 27260-5017
Phone (336) 883-0029

Other practice location 1

2100 SW 119th St
Oklahoma City, OK 73170-3437
Phone (405) 314-0169

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, NC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20170929000531 OK Practitioner - Nurse Practitioner 6901171040
I20240313001417 NC Practitioner - Nurse Practitioner 6901171040 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bethany Medical Center Family CurrentSince Mar 28, 2025 Accepting new patients
Bethany Medical Center, PA CurrentSince Mar 28, 2025 Accepting new patients
Bethany Medical Center Past Accepting new patients

Locations

507 N Lindsay St
High Point, NC 27262

3605 Peters Ct
High Point, NC 27265
Phone (336) 841-1850

1580 Skeet Club Rd
High Point, NC 27265
Phone 336883002912268

3610 Peters Ct
High Point, NC 27265

645 N Main St
High Point, NC 27260
Phone (336) 882-7700

3604 Peters Ct
High Point, NC 27265
Phone (336) 812-3610

495 Arbor Hill Rd
Ste R
Kernersville, NC 27284

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1023567989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 N MAIN ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272605017",
            "telephone_number": "336-883-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 SKEET CLUB RD",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272659530",
            "telephone_number": "336-883-0029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 SW 119th St",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731703437",
            "country_code": "US",
            "telephone_number": "405-314-0169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZINN",
        "first_name": "MICHAEL",
        "middle_name": "STEPHEN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-03",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "OK",
            "license": "107434",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "107434",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5017300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.