Active NPI
Emily Eliza Pyne, FNP-C
- Family Nurse Practitioner
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704271554
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
- Powerback Rehabilitation LLC
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Careline Palliative Care LLC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Northview Medical House Calls PLC | Current | Accepting new patients | |
| Careline Hmi300 LLC | Current | Accepting new patients | |
| Careconnectmd Michigan PC | Current | Accepting new patients | |
| Bronson Methodist Hospital | Family | Current | Accepting new patients |
| Northview Health Specialists, PLLC | Current | Accepting new patients | |
| Pic Indiana PC | Current | Accepting new patients | |
| Bronson Methodist Hospital | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Premier Heart Associates, Inc | Past | 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.
-
dba Bronson Medical Group
- Hospitalist Physician
- Kalamazoo, MI
- NPI 1417961137
-
- Geriatric Medicine (Internal Medicine) Physician
- Dearborn, MI
- NPI 1477288348
-
dba Optimal Care Physician Services
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Jackson, MI
- NPI 1801367073
-
dba Optimal Care Physician Services
- Family Medicine Physician
- Grand Rapids, MI
- NPI 1629558978
-
dba Careline Physician Services
- Family Medicine Physician
- Saginaw, MI
- NPI 1336447002
-
dba Optimal Care Hospice
- Community Based Hospice Care Agency
- Grand Rapids, MI
- NPI 1770257818
-
dba Hometown Urgent Care
- Urgent Care Clinic/Center
- Huber Heights, OH
- NPI 1790030385
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.