Individual provider Active NPI

Kyrie Bronkema, PA

  • Physician Assistant
  • Lansing, MI
National Provider Identifier
1144995697
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601012432 Issued in MI
Practice address
505 N Clippert St
Lansing, MI 48912-4701
Phone
(517) 999-2273
NPI assigned
Aug 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 60068 CA
Surgical Physician Assistant 363AS0400X 60068 CA
Surgical Physician Assistant 363AS0400X 5601012432 MI
Physician Assistant 363A00000X 5601012432 MI Primary

Addresses

Primary practice location

505 N Clippert St
Lansing, MI 48912-4701

Mailing address

505 N Clippert St
Lansing, MI 48912-4701

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
I20241211000215 MI Practitioner - Physician Assistant 5991103004 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lansing Urgent Care PLCGroup PAC ID 7214947902, 42 clinicians

Practice addresses (Care Compare)

12970 S US Hwy 27
Dewitt, MI 48820-7956
Phone (517) 999-2273

132 S Cedar St
Suite 3
Mason, MI 48854-2401
Phone (517) 999-2273

16945 Marsh Rd
Haslett, MI 48840-8948
Phone (517) 999-2273

2289 W Grand River Ave
Okemos, MI 48864-1649
Phone (517) 349-2300

320 E Jolly Rd
Lansing, MI 48910-6677
Phone (517) 999-4700

4440 W Saginaw Hwy
Lansing, MI 48917-2701
Phone (517) 327-6400

505 N Clippert St
Lansing, MI 48912-4701
Phone (517) 333-9200

886 E Saginaw Hwy
Grand Ledge, MI 48837-8410
Phone (517) 999-2273

Merit-based Incentive Payment System (MIPS)

Final score
93.01 of 100Reported as group
Quality
76.71
Promoting interoperability
100
Improvement activities
40
Cost
74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
60068CAMDPhysician Assistant
5601012432MIMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W. Sparrow Hospital Association CurrentSince Oct 5, 2024 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Oct 5, 2024 Accepting new patients
Lansing Urgent Care, PLC Past Accepting new patients
Family Healthcare Network Past Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

1200 E Michigan Ave
Ste 655
Lansing, MI 48912
Phone (517) 267-2460

Organizations & group practices 6

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": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1144995697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 N CLIPPERT ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489124701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 N CLIPPERT ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489124701",
            "telephone_number": "517-999-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONKEMA",
        "first_name": "KYRIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "60068",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "60068",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MI",
            "license": "5601012432",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601012432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.