Individual provider Active NPI

Carole Ann Lenzo, NP-C

  • Gerontology Nurse Practitioner
  • Byron Center, MI
National Provider Identifier
1881061497
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
4704234607 Issued in MI
Practice address
7751 Byron Center Ave SW Ste C
Byron Center, MI 49315-8001
Phone
(616) 267-7668
NPI assigned
Aug 31, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 4704234607 MI Primary

Addresses

Primary practice location

7751 Byron Center Ave SW Ste C
Byron Center, MI 49315-8001

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151022002168 MI Practitioner - Nurse Practitioner 2961711403 Reassigns benefits to 6 organizations
I20231218003729 NY Practitioner - Nurse Practitioner 2961711403 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Curana Health of Michigan PLLCGroup PAC ID 9638502917, 39 clinicians
CH MSSP Services Mi PLLCGroup PAC ID 2961862800, 44 clinicians

Practice addresses (Care Compare)

Detroit, MI 48243
Phone (337) 991-9276

7533 Grand River Rd
Brighton, MI 48114-7382
Phone (337) 991-9276

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Curana Health of Michigan PLLC Nurse Practitioner CurrentSince Jan 24, 2024 Accepting new patients
Lakeview Health Center PC CurrentSince Apr 10, 2023 Accepting new patients
Careconnectmd Michigan PC CurrentSince Feb 15, 2024 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Oct 4, 2023 Accepting new patients
Brookview Medical Associates, PLLC Nurse Practitioner CurrentSince Nov 12, 2023 Accepting new patients
LTC Physician Care PC CurrentSince Aug 21, 2023 Accepting new patients

Locations

3090 Bristol St
Ste 200
Costa Mesa, CA 92626
Phone (714) 992-1182

2549 Momentum Pl
Chicago, IL 60689
Phone (269) 216-9852

18200 W 13 Mile Rd
Beverly Hills, MI 48025
Phone (248) 647-6500

3200 Greenfield Rd
Ste 300
Dearborn, MI 48120
Phone (313) 318-8208

2102 Orleans St
Detroit, MI 48207
Phone (313) 462-4362

15063 Gratiot Ave
Detroit, MI 48205
Phone (313) 372-4065

400 Renaissance Ctr
Ste 2600
Detroit, MI 48243
Phone (248) 599-1582

4118 Kalamazoo Ave SE
Grand Rapids, MI 49508
Phone (616) 391-5700

2000 Leonard St NE
Grand Rapids, MI 49505
Phone (616) 458-1133

3400 Wilson Ave SW
Grandville, MI 49418
Phone (616) 534-5487

570 Seminole Rd
Ste 20
Norton Shores, MI 49444
Phone (231) 759-5092

3830 Okemos Rd
Okemos, MI 48864
Phone (517) 706-0300

2060 Health Dr SW
Wyoming, MI 49519
Phone (616) 333-1200

13 N Washington St
Ypsilanti, MI 48197
Phone (734) 329-4620

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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 1

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": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1881061497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7751 BYRON CENTER AVE SW STE C",
            "city": "BYRON CENTER",
            "state": "MI",
            "postal_code": "493158001",
            "telephone_number": "616-267-7668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENZO",
        "first_name": "CAROLE",
        "middle_name": "ANN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704234607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Byron Center, MI

Sources for this page

Verify at the official NPI Registry.