Individual provider Active NPI

Brenda Sue Poland, NPC

  • Nurse Practitioner
  • Lansing, MI
National Provider Identifier
1205946977
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704207280 Issued in MI
Practice address
405 W Greenlawn Ave
Suite 230
Lansing, MI 48910
Phone
(517) 485-8217
Fax
(517) 485-3871
NPI assigned
Aug 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 4704207280 MI Primary

Addresses

Primary practice location

405 W Greenlawn Ave
Suite 230
Lansing, MI 48910

Mailing address

3434 W St Joseph St
Lansing, MI 48917
Phone (517) 372-2045

Other names 1

  • Ms. Brenda Sue Seib 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
I20061006000021 MI Practitioner - Nurse Practitioner 0042216582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ingham Nephrology and Hypertension PCGroup PAC ID 6800119637, 7 clinicians

Practice addresses (Care Compare)

3960 Patient Care Dr
Suite 108
Lansing, MI 48911-4276
Phone 5174858217430

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ingham Nephrology and Hypertension PC CurrentSince Mar 18, 2019 Accepting new patients
Michael R Hourani MD PC PastSince Jun 1, 2005 Accepting new patients

Locations

3960 Patient Care Dr
Ste 108
Lansing, MI 48911
Phone (517) 394-8589

405 W Greenlawn Ave
Ste 230
Lansing, MI 48910
Phone (517) 485-8217

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205946977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 W ST JOSEPH ST",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48917",
            "telephone_number": "517-372-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W GREENLAWN AVE",
            "address_2": "SUITE 230",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48910",
            "telephone_number": "517-485-8217",
            "fax_number": "517-485-3871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLAND",
        "first_name": "BRENDA",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "NPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704207280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "SEIB",
            "middle_name": "SUE",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.