Kyle Stanley Pline, DO
Individual provider Active NPI Family Medicine Physician · Ravenna, MI
NPI 1487791448 · NPPES record last updated Jul 11, 2025
Key facts
- NPI
- 1487791448
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 5101016038 (MI)
- Practice address
- 1042 S Ravenna Rd
Ravenna, MI 49451-9583 - Phone
- (231) 853-2519
- Fax
- (231) 853-2838
- NPI assigned
- Jan 31, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Apple Family Medicine, P.L.C.
Practice addresses (Care Compare)
1042 S Ravenna Rd
Ravenna, MI 49451-9583
Phone (231) 853-2519
Hospital & facility affiliations
- Trinity Health Muskegon Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070720000190 | MI | Practitioner - Family Practice | 2668573643 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101016038 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apple Family Medicine, P.L.C. | Current |
Accepting new patients | |
| Mercy Urgent Care | Family Medicine | Past | Accepting new patients |
Locations
1042 S Ravenna Rd
Ravenna, MI 49451
Phone (231) 853-2519
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/BADGCA/Endpoint/BADGCA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101016038 | MI | Yes |
Addresses
Primary practice location
1042 S Ravenna Rd
Ravenna, MI 49451-9583
Mailing address
1042 S Ravenna Rd
Ravenna, MI 49451-9583
Phone (231) 853-2519
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5184911 | Medicaid | MI |
Other providers in Ravenna, MI
- Meeuwsen Dental PLLC
- Anne Elaine Meeuwsen
- Daniel Paul Meeuwsen
- Missi'S Place Counseling, PLLC
- Bonnie Jean Pline
- Hillarey Poffinbarger
- Ravenna Family Practice, P.C.
- Resfeber Therapy
- Robert D & Cindy L Douglas
- Karen Danielle Rubin-Fortier
All providers in Ravenna, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.