Individual provider Active NPI

Erika Suzanne Kielhorn, FNP-C

  • Family Nurse Practitioner
  • Negaunee, MI
National Provider Identifier
1336548817
Registry record updated Sep 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704242568 Issued in MI
Practice address
100 Malton Rd Ste 7
Negaunee, MI 49866-2002
Phone
(906) 485-2347
Fax
(906) 486-1150
NPI assigned
Aug 20, 2014
Last updated
Sep 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704242568 MI Primary

Addresses

Primary practice location

100 Malton Rd Ste 7
Negaunee, MI 49866-2002

Mailing address

100 Malton Rd Ste 7
Negaunee, MI 49866-2002
Phone (906) 485-2347

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
I20140911001464 MI Practitioner - Nurse Practitioner 8224257951 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Lakes Recovery CentersGroup PAC ID 9133317936, 4 clinicians

Practice addresses (Care Compare)

100 Malton Rd
Suite 6
Negaunee, MI 49866-2002
Phone (906) 485-2347

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Recovery Centers CurrentSince Mar 16, 2024 Accepting new patients
Stevens & Hardie Family Practice PC CurrentSince Sep 1, 2014 Accepting new patients
Great Lakes Recovery Centers CurrentSince Mar 16, 2024 Accepting new patients

Locations

97 S 4th St
Ste C
Ishpeming, MI 49849
Phone 9062289699 ext. 1001

107 W Main St
Marquette, MI 49855
Phone (906) 225-3988

100 Malton Rd
Negaunee, MI 49866
Phone (906) 451-4889

100 Malton Rd
Ste 6
Negaunee, MI 49866
Phone (906) 485-2347

100 Malton Rd
Ste 7
Negaunee, MI 49866
Phone (906) 464-0002

Organizations & group practices 3

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 1

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": "1408492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1336548817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MALTON RD STE 7",
            "city": "NEGAUNEE",
            "state": "MI",
            "postal_code": "498662002",
            "telephone_number": "906-485-2347",
            "fax_number": "906-486-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MALTON RD STE 7",
            "city": "NEGAUNEE",
            "state": "MI",
            "postal_code": "498662002",
            "telephone_number": "906-485-2347",
            "fax_number": "906-486-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIELHORN",
        "first_name": "ERIKA",
        "middle_name": "SUZANNE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-20",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704242568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Negaunee, MI

Sources for this page

Verify at the official NPI Registry.