Hollen Family Medicine, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HOLLEN FAMILY MEDICINE, PLLC

Practice address

1525 E Beltline Ave NE Ste 102
Grand Rapids, MI 49525-4598

Phone

(616) 363-0055

Fax

(616) 363-5180

NPI assigned

Feb 8, 2019

Organization subpart

No

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

Authorized official

Name

Brittanny Snow

Title

Practice Manager

Phone

(616) 363-0055

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy Catherine Hollen, MD

  • Family Medicine Physician
  • Grand Rapids, MI
  • NPI 1750463816

  Family Medicine, MI

  Medicare reassignment Care Compare group NPD
• Jennifer Marie Marklevitz, NP

  • Gerontology Nurse Practitioner
  • Grand Rapids, MI
  • NPI 1750923843

  MI

  Medicare reassignment Care Compare group NPD
• Dana L Marino

  • Adult Health Nurse Practitioner
  • Santa Ana, CA
  • NPI 1295982536

  MI

  Medicare reassignment NPD
• Timothy W Childers, PA-C

  • Emergency Medical Services (Emergency Medicine) Physician
  • Reed City, MI
  • NPI 1124078555

  MI

  Medicare reassignment

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1063977528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 E BELTLINE AVE NE STE 102",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495254598",
            "telephone_number": "616-363-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 E BELTLINE AVE NE STE 102",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495254598",
            "telephone_number": "616-363-0055",
            "fax_number": "616-363-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLEN FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-08",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "SNOW",
        "authorized_official_first_name": "BRITTANNY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "616-363-0055"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordyn Leigh Holland
• Sage Malina Holland, BS
• Harold N. Hollander, D.O.
• Robin Joy Hollebeek, PT
• Virginia Aiken Hollemans, LMSW
• Amy Catherine Hollen, MD
• Timothy Hollern
• Kamyra A Holliman
• Latisha Holliman
• Marcia Hollingsworth, EDD

• All providers in Grand Rapids, MI
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.