Individual provider Active NPI

Anna Karolionok, AGNP

  • Adult Health Nurse Practitioner
  • Holland, MI
National Provider Identifier
1053931899
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704293696 Issued in MI
Practice address
3235 N Wellness Dr Ste 120B
Holland, MI 49424-8035
Phone
(616) 399-9522
NPI assigned
Apr 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 4704293696 MI
Adult Health Nurse Practitioner 363LA2200X 4704293696 MI Primary

Addresses

Primary practice location

3235 N Wellness Dr Ste 120B
Holland, MI 49424-8035

Mailing address

3235 N Wellness Dr Ste 120B
Holland, MI 49424-8035
Phone (616) 399-9522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200701003454 MI Practitioner - Nurse Practitioner 4284058488 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Theoria MedicalGroup PAC ID 5395098339, 317 clinicians

Practice addresses (Care Compare)

90 N Michigan Ave
Coldwater, MI 49036-1527
Phone (517) 279-9808

Hospital & facility affiliations

  • Munson Medical Center Hospital, Traverse City, MI, CCN 230097

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704293696MIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Traverse Health Clinic and Coalition CurrentSince Aug 9, 2024 Accepting new patients
Complexcare Medical Group Midwest M PLLC CurrentSince Sep 21, 2025 Accepting new patients
Theoria Medical CurrentSince Aug 22, 2025 Accepting new patients
Traverse Health Clinic and Coalition Current Accepting new patients

Locations

5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216

90 N Michigan Ave
Coldwater, MI 49036
Phone (517) 279-9808

6700 W Outer Dr
Detroit, MI 48235
Phone (313) 836-1700

3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

1719 S Garfield Ave
Traverse City, MI 49686
Phone (231) 642-5938

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1053931899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 N WELLNESS DR STE 120B",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248035",
            "telephone_number": "616-399-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 N WELLNESS DR STE 120B",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494248035",
            "telephone_number": "616-399-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAROLIONOK",
        "first_name": "ANNA",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-22",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704293696",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704293696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.