Individual provider Active NPI

Samuel K Comden, NP

  • Nurse Practitioner
  • Holt, MI
National Provider Identifier
1174474027
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704348471 Issued in MI
Practice address
2380 Cedar St Ste 100
Holt, MI 48842-2210
Phone
(517) 742-4900
NPI assigned
Feb 6, 2026
Last updated
Mar 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704348471 MI Primary

Addresses

Primary practice location

2380 Cedar St Ste 100
Holt, MI 48842-2210

Mailing address

228 Eastlawn
Parma, MI 49269-9524
Phone (517) 262-6022

Other practice location 1

3413 Woods Edge
Okemos, MI 48864-5901
Phone (517) 349-3303

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
I20260326001709 MI Practitioner - Nurse Practitioner 6608351861 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lansing Cardiovascular Consultants PCGroup PAC ID 9739143827, 10 clinicians

Practice addresses (Care Compare)

3413 Woods Edge
Okemos, MI 48864-5901
Phone (517) 349-3303

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704348471MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lansing Cardiovascular Consultants PC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1770336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1174474027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 EASTLAWN",
            "city": "PARMA",
            "state": "MI",
            "postal_code": "492699524",
            "telephone_number": "517-262-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 CEDAR ST STE 100",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "488422210",
            "telephone_number": "517-742-4900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3413 Woods Edge",
            "address_purpose": "LOCATION",
            "city": "Okemos",
            "state": "MI",
            "postal_code": "488645901",
            "country_code": "US",
            "telephone_number": "517-349-3303",
            "fax_number": "517-349-0828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COMDEN",
        "first_name": "SAMUEL",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-02-06",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704348471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holt, MI

Sources for this page

Verify at the official NPI Registry.