Individual provider Active NPI

Michelle Rayann Kuzma, FNP-BC

  • Primary Care Nurse Practitioner
  • East Lansing, MI
National Provider Identifier
1477333904
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
4704192350 Issued in MI
Practice address
1401 E Lansing Dr Ste 107
East Lansing, MI 48823-7788
Phone
(517) 351-8881
NPI assigned
Oct 2, 2023
Last updated
Oct 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 4704192350 MI Primary

Addresses

Primary practice location

1401 E Lansing Dr Ste 107
East Lansing, MI 48823-7788

Mailing address

6016 S MLK Blvd
Lansing, MI 48911-4604
Phone (517) 648-3684

Other practice location 1

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

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
I20231113001546 MI Practitioner - Nurse Practitioner 7911354964 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard a. Pittsley, M.D., P.C.Group PAC ID 2769656883, 2 clinicians
Jawad a Shah MD PCGroup PAC ID 5799779633, 89 clinicians

Practice addresses (Care Compare)

1401 E Lansing Dr
Suite 107
East Lansing, MI 48823-7788
Phone (517) 351-8881

4800 S Saginaw St
Suite 1800
Flint, MI 48507-2677
Phone 8107329333116

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704192350MIMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Richard a. Pittsley, M.D., P.C. CurrentSince Oct 2, 2023 Accepting new patients

Locations

1401 E Lansing Dr
Ste 107
East Lansing, MI 48823
Phone (517) 351-8881

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1477333904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6016 S MLK BLVD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114604",
            "telephone_number": "517-648-3684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 E LANSING DR STE 107",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488237788",
            "telephone_number": "517-351-8881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6200 Pine Hollow Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488239224",
            "country_code": "US",
            "telephone_number": "517-339-1676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUZMA",
        "first_name": "MICHELLE",
        "middle_name": "RAYANN",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704192350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

Verify at the official NPI Registry.