Individual provider Active NPI

Claudia Rivera Salas

  • Nurse Practitioner
  • East Lansing, MI
National Provider Identifier
1427606797
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704315251 Issued in MI
Practice address
6200 Pine Hollow Dr Ste 400
East Lansing, MI 48823-9224
Phone
(517) 339-1676
NPI assigned
Aug 29, 2019
Last updated
Aug 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 4704315251 MI Primary

Addresses

Primary practice location

6200 Pine Hollow Dr Ste 400
East Lansing, MI 48823-9224

Mailing address

15045 Marsha St
Livonia, MI 48154-4876

Other names 1

  • Claudia Rivera-Salas Other 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
I20200122003166 MI Practitioner - Nurse Practitioner 4688009533 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pine Hollow Partner LLCGroup PAC ID 5092002360, 6 clinicians

Practice addresses (Care Compare)

6200 Pine Hollow Dr
Suite 400
East Lansing, MI 48823-9224
Phone (517) 339-1676

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pine Hollow Partner LLC Single Specialty CurrentSince Jan 1, 2020 Accepting new patients

Locations

6200 Pine Hollow Dr
Ste 400
East Lansing, MI 48823
Phone (517) 339-1676

3945 Okemos Rd
Ste A2
Okemos, MI 48864
Phone (517) 339-1676

Interoperability endpoints

  • Direct secure messaging: claudia.riverasalas.p1@direct.pinehollow.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/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 5

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": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1427606797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15045 MARSHA ST",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481544876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 PINE HOLLOW DR STE 400",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488239224",
            "telephone_number": "517-339-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA SALAS",
        "first_name": "CLAUDIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-29",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704315251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLAUDIA",
            "last_name": "RIVERA-SALAS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.