Individual provider Active NPI

Mark Folts

  • Nurse Practitioner
  • Flint, MI
National Provider Identifier
1629068614
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704110505 Issued in MI
Practice address
5154 Miller Rd Ste 1
Flint, MI 48507-1065
Phone
(810) 228-3164
Fax
(949) 437-2563
NPI assigned
Oct 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704110505 MI Primary

Addresses

Primary practice location

5154 Miller Rd Ste 1
Flint, MI 48507-1065

Mailing address

5154 Miller Rd Ste 1
Flint, MI 48507-1065
Phone (810) 228-3164

Other identifiers 1

IdentifierTypeStateIssuer
4754198MedicaidMI

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
I20041014000380 MI Practitioner - Nurse Practitioner 7618937632 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Effective Psych Care PLLCGroup PAC ID 8527391143, 5 clinicians

Practice addresses (Care Compare)

5039 Villa Linde Pkwy
Suite 30
Flint, MI 48532-3450
Phone (810) 213-8013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704110505MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Effective Psych Care PLLC CurrentSince Nov 20, 2020 Accepting new patients
Michigan Interventional Radiology Associates, PC Nurse Practitioner CurrentSince May 1, 2018 Accepting new patients
Henry Ford Macomb Hospital Corporation Past Accepting new patients
Paul N Deweese MD PLC Past Accepting new patients
Great Lakes in-Home Clinician Services Inc Nurse Practitioner Past Accepting new patients
Associates in Family Medicine, P.C. Past Accepting new patients

Locations

5039 Villa Linde Pkwy
Ste 30
Flint, MI 48532
Phone (810) 213-8013

1020 Charter Dr
Ste E
Flint, MI 48532
Phone (810) 213-8013

4466 W Bristol Rd
Fl 2
Flint, MI 48507
Phone (810) 250-4866

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.

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1629068614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5154 MILLER RD STE 1",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071065",
            "telephone_number": "810-228-3164",
            "fax_number": "949-437-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5154 MILLER RD STE 1",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485071065",
            "telephone_number": "810-228-3164",
            "fax_number": "949-437-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLTS",
        "first_name": "MARK",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-21",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704110505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4754198",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.