Individual provider Active NPI

Bryn Joelle Pape, DO

  • Endocrinology, Diabetes & Metabolism Physician
  • Muskegon, MI
National Provider Identifier
1558855544
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
5101027701 Issued in MI
Practice address
1675 Leahy St Ste 215a
Muskegon, MI 49442-5542
Phone
(616) 685-3098
Fax
(616) 685-3095
NPI assigned
Jun 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 5101027701 MI Primary

Addresses

Primary practice location

1675 Leahy St Ste 215a
Muskegon, MI 49442-5542

Mailing address

1675 Leahy St Ste 201a
Muskegon, MI 49442-5542

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231002002494 MI Practitioner - Endocrinology 4082080296 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Marian University College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Partners - Physician SpecialistGroup PAC ID 2163572991, 66 clinicians

Practice addresses (Care Compare)

1675 Leahy St
Suite 328B
Muskegon, MI 49442-5500
Phone (616) 685-3098

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101027701MIMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Health Saint Mary's Medical Group CurrentSince Oct 1, 2023 Accepting new patients
Mercy Health Partners - Physician Specialist Internal Medicine CurrentSince Oct 1, 2023 Accepting new patients
Advantage Health Saint Mary's Medical Group CurrentSince Oct 1, 2023 Accepting new patients
Advantage Health/Saint Mary's Medical Group Current Accepting new patients
Mercy Health Partners PastSince Oct 1, 2023 Accepting new patients
West Shore Cardiology, PLC Past Accepting new patients

Locations

10047 Crossroad Ct SE
Caledonia, MI 49316
Phone (616) 685-8850

300 Lafayette Ave SE
Ste 2045
Grand Rapids, MI 49503
Phone (616) 685-3098

1675 Leahy St
Ste 328B
Muskegon, MI 49442
Phone (231) 727-3098

1500 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-3027

1675 Leahy St
Ste 201A
Muskegon, MI 49442
Phone (231) 672-6600

1675 Leahy St
Ste 301A
Muskegon, MI 49442
Phone (231) 672-8300

1675 Leahy St
Ste 215A
Muskegon, MI 49442
Phone (231) 728-1690

Interoperability endpoints

  • Direct secure messaging: bpape42775@direct.trinity-health.org

Organizations & group practices 6

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 2

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": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1558855544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 LEAHY ST STE 201A",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494425542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 LEAHY ST STE 215A",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494425542",
            "telephone_number": "616-685-3098",
            "fax_number": "616-685-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPE",
        "first_name": "BRYN",
        "middle_name": "JOELLE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MI",
            "license": "5101027701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.