Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Irene Chebiwot Maiyo

Individual provider Nurse Practitioner · NPI 1679347611

Irene Chebiwot Maiyo is a Nurse Practitioner in Holt, Michigan. Qualified in 2023, 3 years ago. Practices with Physicians Eldercare PA, a 228-clinician group and accepts Medicare assignment. Licensed in Michigan and North Carolina.

Years since qualifying
3
Licensed in
MI, NC
In the registry since
2023
Specialties on file
2

Practice location Address checks out

2631 Sanibel Holw
Holt, MI 48842-8755
Phone: (517) 528-2852
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4704324669 (MI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 5019482 (NC)

Record details

NPI number1679347611
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 9, 2023
Last updated in NPPESDecember 10, 2025
Certification dateDecember 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Physicians Eldercare Pa — 228 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Holt