Individual provider Active NPI

Sara Susan Lincoln

  • Family Nurse Practitioner
  • Greenville, MI
National Provider Identifier
1699279398
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704287789 Issued in MI
Practice address
811 E Kent Rd
Greenville, MI 48838-9791
Phone
(616) 225-0202
NPI assigned
Mar 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704287789 MI Primary
Registered Nurse 163W00000X 4704287789 MI

Addresses

Primary practice location

811 E Kent Rd
Greenville, MI 48838-9791

Mailing address

811 E Kent Rd
Greenville, MI 48838-9791
Phone (616) 225-0202

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
I20181002000496 MI Practitioner - Nurse Practitioner 8820349897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bicycle Health Medical Group PAGroup PAC ID 0244643872, 23 clinicians

Practice addresses (Care Compare)

41000 Woodward Ave
Suite 350 E Office 389
Bloomfield Hills, MI 48304-5130
Phone (844) 943-2514

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704287789MIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Bicycle Health Medical Group PA CurrentSince Mar 15, 2025 Accepting new patients
Bicycle Health Provider Group Inc. PastSince Dec 17, 2023 Accepting new patients
Carla Miller Ma MSW PastSince Jun 4, 2020 Accepting new patients

Locations

41000 Woodward Ave
Ste 350E
Bloomfield Hills, MI 48304
Phone (248) 572-1124

220 W Congress St
Fl 2
Detroit, MI 48226
Phone (313) 963-4979

Interoperability endpoints

  • Direct secure messaging: sara.lincoln.1@18731.direct.athenahealth.com

Organizations & group practices 3

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": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1699279398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 E KENT RD",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488389791",
            "telephone_number": "616-225-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 E KENT RD",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488389791",
            "telephone_number": "616-225-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINCOLN",
        "first_name": "SARA",
        "middle_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-19",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704287789",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704287789",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MI

Sources for this page

Verify at the official NPI Registry.