Individual provider Active NPI

Mary Lee Mier, DO

  • Family Medicine Physician
  • Hudsonville, MI
National Provider Identifier
1134487804
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101028273 Issued in MI
Practice address
3440 Chicago Dr Ste 105
Hudsonville, MI 49426-1419
Phone
(616) 796-9560
NPI assigned
May 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101028273 MI Primary

Addresses

Primary practice location

3440 Chicago Dr Ste 105
Hudsonville, MI 49426-1419

Mailing address

3440 Chicago Dr Ste 105
Hudsonville, MI 49426-1419
Phone (616) 796-9560

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250108002309 MI Practitioner - Family Practice 4183867997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Holland Community HospitalGroup PAC ID 0446157291, 174 clinicians

Practice addresses (Care Compare)

3440 Chicago Dr
Suite 105
Hudsonville, MI 49426-1427
Phone (616) 796-9560

Hospital & facility affiliations

  • Holland Hospital Hospital, Holland, MI, CCN 230072

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2906TNMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Holland Community Hospital Family Medicine CurrentSince Jan 6, 2025 Accepting new patients
Holland Community Hospital Current Accepting new patients
Holland Community Hospital Past Accepting new patients

Locations

577 Michigan Ave
Ste 101
Holland, MI 49423
Phone (616) 393-2190

3440 Chicago Dr
Ste 105
Hudsonville, MI 49426
Phone (616) 267-7888

Interoperability endpoints

  • Direct secure messaging: mary.mier@holland.eclinicaldirectplus.com

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.

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": "1335830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1134487804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 CHICAGO DR STE 105",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494261419",
            "telephone_number": "616-796-9560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 CHICAGO DR STE 105",
            "city": "HUDSONVILLE",
            "state": "MI",
            "postal_code": "494261419",
            "telephone_number": "616-796-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIER",
        "first_name": "MARY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-01",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101028273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudsonville, MI

Sources for this page

Verify at the official NPI Registry.