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Active NPI 1689072738 Individual Practitioner Female Practitioner

Lisa Diane Rinke , FNP-BC

Nurse Practitioner • Grosse Pointe, MI

Professional Overview & Biography Verified Profile Summary

Lisa Rinke, FNP-BC is a registered healthcare professional specializing in Nurse Practitioner in Grosse Pointe, MI. Practice services are available at 17120 KERCHEVAL AVE under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

17120 Kercheval Ave

Grosse Pointe, MI 482301661

Telephone 3188863300

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Grosse Pointe, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
16 Specialists

Practicing in Grosse Pointe, MI (3626 Statewide)

Telehealth Adoption Rate
25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
59.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
31 30 $220.00 $94.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
30 30 $333.18 $143.28
99213 Established patient office or other outpatient visit, typically 15 minutes
14 14 $188.43 $64.49

Medical Specialties & State Licenses

CMS Verified: 2020-09-24
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MI 4704147850

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License MI 4714147850

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License
3008817 (KY)
Commercial Insurance / Payer ID License
4704147850 (MI)

Secondary Practice Locations

440 Hopkinsville St

Greenville, KY 423451124

Phone: 2703388300

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
NPI 1013539600

Doctor of Pharmacy (Pharm.D.)

Molly Czoykowski , FNP

Nurse Practitioner - Family

NPI 1124422779

Family Nurse Practitioner

Abbey Shay , NP

Nurse Practitioner - Family

NPI 1184450942

Nurse Practitioner

Mary Marji , FNP-C

Nurse Practitioner - Family

NPI 1356700645

Family Nurse Practitioner (Certified)

NPI 1497325260

Doctor of Pharmacy (Pharm.D.)

NPI 1568093656

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events
📍
Updated Practice Location September 24, 2020

Registered at 17120 KERCHEVAL AVE, GROSSE POINTE, MI 482301661 (Tel: 3188863300)

📍
Updated Business Mailing Address September 24, 2020

Registered at 17120 KERCHEVAL AVE, GROSSE POINTE, MI 482301661 (Tel: 3138863300)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2020

Nurse Practitioner (License #4714147850 in MI)

📍
Updated Business Mailing Address December 14, 2018

Registered at 9230 JOSEPH CAMPAU ST, HAMTRAMCK, MI 482123731 (Tel: 3138759270)

👤
Provider Name / Credentials Updated December 14, 2018

Recorded as LISA RINKE, FNP-BC

NPI Profile Active December 15, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 15, 2017

Registered at 9230 JOSEPH CAMPAU ST, HAMTRAMCK, MI 482123731 (Tel: 3138759270)

📍
Updated Business Mailing Address December 15, 2017

Registered at PO BOX 387, GREENVILLE, KY 423450387

👤
Provider Name / Credentials Updated December 15, 2017

Recorded as LISA RINKE, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2017

Nurse Practitioner (License #4704147850 in MI)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2017

Nurse Practitioner (License #4704147850 in MI)

NPI Profile Active January 20, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location January 20, 2015

Registered at 440 HOPKINSVILLE ST, GREENVILLE, KY 423451124 (Tel: 2703388300)

📍
Updated Business Mailing Address January 20, 2015

Registered at PO BOX 387, GREENVILLE, KY 423450387 (Tel: 2703388300)

👤
Provider Name / Credentials Updated January 20, 2015

Recorded as LISA SUROVICK, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2015

Nurse Practitioner (License #3008817 in KY)

🟢
Initial NPI Registration & Enumeration December 05, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689072738
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 05, 2014
Last Update: September 24, 2020
Sole Proprietor: No

Mailing Address

17120 Kercheval Ave

Grosse Pointe, MI 482301661

Phone: 3138863300

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.