Individual provider Active NPI

Sarah Marie Penzel, NP

  • Family Nurse Practitioner
  • Flint, MI
National Provider Identifier
1104157098
Registry record updated Jan 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704270819 Issued in MI
Practice address
401 S Ballenger Hwy
Physician Billing
Flint, MI 48532-3638
Phone
(810) 342-1000
Fax
(810) 342-1590
NPI assigned
Jan 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704270819 MI Primary

Addresses

Primary practice location

401 S Ballenger Hwy
Physician Billing
Flint, MI 48532-3638

Mailing address

2313 E Hill Rd
Grand Blanc, MI 48439-5059
Phone (810) 953-6400

Other names 1

  • Sarah Marie Lynch Former name

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
I20100513000099 MI Practitioner - Nurse Practitioner 6608904529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren FlintGroup PAC ID 8628975497, 144 clinicians

Practice addresses (Care Compare)

2420 Owen Rd
Suite a
Fenton, MI 48430-3417
Phone (810) 496-2500

401 S Ballenger Hwy
Flint, MI 48532-3638

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704270819MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Flint CurrentSince Apr 1, 2012 Accepting new patients
McLaren Flint Nurse Practitioner CurrentSince Apr 1, 2012 Accepting new patients
McLaren Flint Current Accepting new patients
McLaren Flint Past Accepting new patients

Locations

10090 E Lippincott Blvd
Davison, MI 48423
Phone (810) 653-1130

2420 Owen Rd
Ste A
Fenton, MI 48430
Phone (810) 496-2460

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

2313 E Hill Rd
Grand Blanc, MI 48439
Phone (810) 496-0900

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": "1263772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263772800000",
    "number": "1104157098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2313 E HILL RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484395059",
            "telephone_number": "810-953-6400",
            "fax_number": "810-953-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S BALLENGER HWY",
            "address_2": "PHYSICIAN BILLING",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323638",
            "telephone_number": "810-342-1000",
            "fax_number": "810-342-1590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENZEL",
        "first_name": "SARAH",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-18",
        "last_updated": "2010-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704270819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "LYNCH",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.