Individual provider Active NPI

Emily Eliza Pyne, FNP-C

  • Family Nurse Practitioner
  • Grand Rapids, MI
National Provider Identifier
1215322805
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704271554 Issued in MI
Practice address
770 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-8602
Phone
(616) 272-3533
Fax
(616) 259-4839
NPI assigned
Apr 1, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704271554 MI
Nurse Practitioner 363L00000X 4704271554 MI
Family Nurse Practitioner 363LF0000X 4704271554 MI Primary

Addresses

Primary practice location

770 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-8602

Mailing address

801 Rosehill Rd
Jackson, MI 49202-1762
Phone (517) 212-2008

Other practice location 1

1402 W 14 Mile Rd
Clawson, MI 48017-1499
Phone (248) 435-7314

Other practice location 2

10165 Lloy St
Portage, MI 49024-6834
Phone (231) 883-2447

Other practice location 3

2725 Airview Blvd Ste 105
Portage, MI 49002-1804
Phone (248) 434-6169

Other names 1

  • Emily Eliza Sielski 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
I20150522002097 MI Practitioner - Nurse Practitioner 4486974953 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pic Indiana PCGroup PAC ID 3476790239, 143 clinicians
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians

Practice addresses (Care Compare)

3550 Pine Grove Ave
Port Huron, MI 48060-1944
Phone (810) 242-5139

3951 W Milham Ave
Portage, MI 49024-1088
Phone (269) 447-1689

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Careline Palliative Care LLC CurrentSince Oct 9, 2024 Accepting new patients
Vpa PC CurrentSince Jul 17, 2023 Accepting new patients
Northview Medical House Calls PLC CurrentSince Oct 9, 2024 Accepting new patients
Careline Hmi300 LLC CurrentSince Sep 20, 2024 Accepting new patients
Careconnectmd Michigan PC CurrentSince Oct 17, 2024 Accepting new patients
Bronson Methodist Hospital Family CurrentSince Jun 1, 2016 Accepting new patients
Northview Health Specialists, PLLC CurrentSince Sep 20, 2024 Accepting new patients
Pic Indiana PC CurrentSince Oct 27, 2025 Accepting new patients
Bronson Methodist Hospital CurrentSince Dec 1, 2015 Accepting new patients
Vpa PC Current Accepting new patients
Vpa PC CurrentSince Jul 17, 2023 Accepting new patients
Premier Heart Associates, Inc PastSince Oct 9, 2024 Accepting new patients
Hometown Urgent Care of Michigan, P.C. Past Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

1131 M 32 W
Alpena, MI 49707
Phone (989) 250-1925

3200 Greenfield Rd
Ste 300
Dearborn, MI 48120
Phone (313) 318-8208

770 Kenmoor Ave SE
Ste 100
Grand Rapids, MI 49546
Phone (616) 272-3533

801 Rosehill Rd
Jackson, MI 49202
Phone (517) 212-2008

5629 Stadium Dr
Ste D
Kalamazoo, MI 49009
Phone (269) 372-5701

601 John St
Ste M-124
Kalamazoo, MI 49007
Phone (269) 341-7500

6220 W Main St
Kalamazoo, MI 49009
Phone (269) 276-4744

5629 Stadium Dr
Ste A
Kalamazoo, MI 49009
Phone (269) 372-1000

5629 Stadium Dr
Kalamazoo, MI 49009
Phone (269) 372-1000

2205 Jolly Rd
Ste B
Okemos, MI 48864
Phone (517) 347-4085

2205 Jolly Rd
Ste A
Okemos, MI 48864
Phone (517) 347-4085

3550 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-2530

2725 Airview Blvd
Ste 105
Portage, MI 49002
Phone (269) 349-8386

5121 S Westnedge Ave
Portage, MI 49002
Phone (269) 337-2110

4760 Fashion Square Blvd
Ste L1
Saginaw, MI 48604
Phone (989) 282-4003

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1427846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1215322805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 ROSEHILL RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492021762",
            "telephone_number": "517-212-2008",
            "fax_number": "517-212-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 KENMOOR AVE SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468602",
            "telephone_number": "616-272-3533",
            "fax_number": "616-259-4839"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1402 W 14 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Clawson",
            "state": "MI",
            "postal_code": "480171499",
            "country_code": "US",
            "telephone_number": "248-435-7314",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10165 Lloy St",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "MI",
            "postal_code": "490246834",
            "country_code": "US",
            "telephone_number": "231-883-2447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2725 Airview Blvd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "MI",
            "postal_code": "490021804",
            "country_code": "US",
            "telephone_number": "248-434-6169",
            "fax_number": "855-618-6655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PYNE",
        "first_name": "EMILY",
        "middle_name": "ELIZA",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-01",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704271554",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704271554",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704271554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "SIELSKI",
            "middle_name": "ELIZA",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.