Individual provider Active NPI

Iris Zink, NP

  • Family Nurse Practitioner
  • Lansing, MI
National Provider Identifier
1487729752
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704205093 Issued in MI
Practice address
4333 W St Joe Hwy
Lansing, MI 48917-4100
Phone
(517) 321-1525
Fax
(517) 321-7059
NPI assigned
Nov 22, 2006
Sex
Female
Sole proprietor
No

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
Family Nurse Practitioner 363LF0000X 4704205093 MI Primary

Addresses

Primary practice location

4333 W St Joe Hwy
Lansing, MI 48917-4100

Mailing address

4333 W St Joe Hwy
Lansing, MI 48917-4100
Phone (517) 321-1525

Other names 1

  • Iris Iris Zink Former 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
I20060420000105 MI Practitioner - Nurse Practitioner 7719996628 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
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 Nurse Practitioner CurrentSince Jul 26, 2016 Accepting new patients
Joshua P June DO PastSince Mar 22, 2020 Accepting new patients
Beals Institute PC PastSince Mar 30, 2006 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: iris.zink.1@14640.direct.athenahealth.com
  • Direct secure messaging: iris.zink.p1@direct.pinehollow.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1487729752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 W ST JOE HWY",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489174100",
            "telephone_number": "517-321-1525",
            "fax_number": "517-321-7059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 W ST JOE HWY",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489174100",
            "telephone_number": "517-321-1525",
            "fax_number": "517-321-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZINK",
        "first_name": "IRIS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-22",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704205093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRIS",
            "last_name": "ZINK",
            "middle_name": "IRIS",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.