Organization Active NPI

Premier Primary Care and Wellness, PLLC

  • Clinic/Center
  • Lansing, MI
National Provider Identifier
1518741982
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PREMIER PRIMARY CARE AND WELLNESS, PLLC
Practice address
912 Centennial Way Ste 300
Lansing, MI 48917-8246
Phone
(517) 648-1238
Fax
(517) 705-3911
NPI assigned
Aug 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Authorized official

Name
Dr. Breanna O'Keefe, DONPI 1104185503
Title
Owner, Physician
Phone
(517) 648-1238

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

912 Centennial Way Ste 300
Lansing, MI 48917-8246

Mailing address

912 Centennial Way Ste 300
Lansing, MI 48917-8246
Phone (517) 648-1238

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2287660Premier Primary Care and Wellness912 Centennial Way Suite 300, Lansing, MI 48917Provider-performed microscopyAug 15, 2027

National Provider Directory

National Provider Directory

Locations

912 Centennial Way
Ste 300
Lansing, MI 48917
Phone (517) 648-1238

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1518741982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 CENTENNIAL WAY STE 300",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178246",
            "telephone_number": "517-648-1238",
            "fax_number": "517-705-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 CENTENNIAL WAY STE 300",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489178246",
            "telephone_number": "517-648-1238",
            "fax_number": "517-705-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PRIMARY CARE AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "O'KEEFE",
        "authorized_official_first_name": "BREANNA",
        "authorized_official_title_or_position": "OWNER, PHYSICIAN",
        "authorized_official_telephone_number": "517-648-1238",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.