Individual provider Active NPI

Mirsida Zholi, NP-C

  • Family Nurse Practitioner
  • Pontiac, MI
National Provider Identifier
1467904367
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704289178 Issued in MI
Practice address
114 Orchard Lake Rd
Pontiac, MI 48341-2244
Phone
(248) 724-7600
Fax
(248) 724-6800
NPI assigned
Oct 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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 4704289178 MI Primary

Addresses

Primary practice location

114 Orchard Lake Rd
Pontiac, MI 48341-2244

Mailing address

PO Box 430150
Pontiac, MI 48343-0150
Phone (248) 724-7600

Other practice location 1

461 W Huron St Ste 107
Pontiac, MI 48341-1601
Phone (248) 724-7600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mirsida.zholi.p1@direct.oihn.nextgenshare.com

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
I20221014002487 MI Practitioner - Nurse Practitioner 1658747712 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oakland Integrated Healthcare Network CurrentSince Jul 31, 2023 Accepting new patients
Oakland Integrated Healthcare Network CurrentSince Jul 31, 2023 Accepting new patients
Procare Partners Health PLLC CurrentSince Oct 1, 2022 Accepting new patients
Oakland Integrated Healthcare Network Current Accepting new patients

Locations

20927 Kelly Rd
Ste 1
Eastpointe, MI 48021
Phone (586) 447-9729

3611 Carpenter St
Ste 5
Hamtramck, MI 48212
Phone (313) 733-8286

196 Cesar E Chavez Ave
Pontiac, MI 48342
Phone (248) 209-2000

1200 N Telegraph Rd
Dept 34
Pontiac, MI 48341
Phone (248) 858-1280

461 W Huron St
Ste 107
Pontiac, MI 48341
Phone (248) 857-7432

Interoperability endpoints

  • Direct secure messaging: mirsida.zholi.p1@direct.oihn.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1467904367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430150",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483430150",
            "telephone_number": "248-724-7600",
            "fax_number": "248-724-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 ORCHARD LAKE RD",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483412244",
            "telephone_number": "248-724-7600",
            "fax_number": "248-724-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "461 W Huron St Ste 107",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "MI",
            "postal_code": "483411601",
            "country_code": "US",
            "telephone_number": "248-724-7600",
            "fax_number": "248-724-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZHOLI",
        "first_name": "MIRSIDA",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-26",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704289178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mirsida.zholi.p1@direct.oihn.nextgenshare.com",
            "affiliation": "N",
            "address_1": "114 Orchard Lake Rd",
            "city": "Pontiac",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483412244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

Verify at the official NPI Registry.