MRS. MICHELE MARIE MENTINK (NP) – Family Nurse Practitioner, NPI 1679057517

MRS. MICHELE MARIE MENTINK (NP) is a healthcare provider. based in Albion, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4704274359 (MI). The NPI Number for MRS. MICHELE MARIE MENTINK (NP) is 1679057517

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MICHELE MARIE MENTINK (NP)
NPI
1679057517
Phone
(517) 206-0067
Address
14174 ELM ROW RD
Enumeration Date
17 September 2018
Last Update Date
17 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5172058991
Graduation Year
2018 (8 years ago)
PAC ID
7113262569
Group Practice PAC ID
0244136067
Professional Enrollment ID
I20181213000881
Address ID
MI492036152JA400XXBLVD301

Contacts

Secure Messaging
mmentink453205@direct.hfhs.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

8,106 NURSE PRACTITIONER in MI

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Provider Addresses for MRS. MICHELE MARIE MENTINK (NP)

  • 14174 ELM ROW RD

    ALBION, MI 492249611

    Phone: (517) 206-0067

    Type: Mailing

  • 100, Hinckley Boulevard, Vandercook Lake, Summit Township, Jackson County, Michigan, 49203, United States

    JACKSON, MI 492036152

    Phone: (517) 205-8991

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-12-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181213000881INurse PractitionerMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes274139$0
99213Established patient office or other outpatient visit, 20-29 minutes3932$0
99215Established patient office or other outpatient visit, 40-54 minutes2321$0
View full utilization report →

Insurance plans in this area (ZIP 49224)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0244136067View full group profile

Reviews

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Frequently asked questions

Can I cross-check MRS. MICHELE MARIE MENTINK (NP) using NPI 1679057517?
NPI 1679057517 belongs to MRS. MICHELE MARIE MENTINK (NP); compare other details if you need extra assurance.
Is MRS. MICHELE MARIE MENTINK (NP) shown as active in public data?
Registry records indicate MRS. MICHELE MARIE MENTINK (NP) maintains an active NPI.
What kind of doctor is MRS. MICHELE MARIE MENTINK (NP)?
MRS. MICHELE MARIE MENTINK (NP) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for MRS. MICHELE MARIE MENTINK (NP)?
Travel planning: use Albion, Michigan as the reference point for MRS. MICHELE MARIE MENTINK (NP), then confirm.
When was this NPI issued?
Enumeration for MRS. MICHELE MARIE MENTINK (NP) is noted as September 17, 2018 where the registry provides it.

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