Organization Active NPI

Heartland Primary Care PLLC

  • Family Medicine Physician
  • Greenville, MI
National Provider Identifier
1528880705
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HEARTLAND PRIMARY CARE PLLC
Practice address
123 E Cass St
Greenville, MI 48838-1905
Phone
(616) 221-4302
Fax
(616) 232-2034
NPI assigned
Oct 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Authorized official

Name
Catherine Grimm
Title
Practice Manager
Phone
(616) 221-4302

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

123 E Cass St
Greenville, MI 48838-1905

Mailing address

123 E Cass St
Greenville, MI 48838-1905
Phone (616) 221-4302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250108003306 MI Part B Supplier - Clinic/Group Practice 6507394293 Receives reassigned benefits from 2 practitioners
Practice locations: Greenville, MI

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
23D2317115Heartland Primary Care PLLC123 E Cass Street, Greenville, MI 48838Certificate of waiverJan 16, 2027

National Provider Directory

National Provider Directory

Locations

112 S Clay St
Ste B
Greenville, MI 48838
Phone (616) 221-4302

Practitioners & affiliated clinicians

Practitioners 2

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": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1528880705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 E CASS ST",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488381905",
            "telephone_number": "616-221-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 E CASS ST",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488381905",
            "telephone_number": "616-221-4302",
            "fax_number": "616-232-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "GRIMM",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "616-221-4302"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.