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

MS. Emily Eliza Pyne, FNP-C

Individual provider Registered Nurse · NPI 1215322805

MS. Emily Eliza Pyne, FNP-C is a Nurse Practitioner in Grand Rapids, Michigan. Qualified in 2015, 11 years ago. Practices with Pic Indiana PC, a 148-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
11
Licensed in
MI
In the registry since
2015
Specialties on file
3
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

770 Kenmoor Ave SE Ste 100
Grand Rapids, MI 49546-8602
Phone: (616) 272-3533
Fax: (616) 259-4839
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1402 W 14 Mile Rd, Clawson, MI 48017-1499 — (248) 435-7314
  • 2725 Airview Blvd Ste 105, Portage, MI 49002-1804 — (248) 434-6169
  • 10165 Lloy St, Portage, MI 49024-6834 — (231) 883-2447

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704271554 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4704271554 (MI)
Nurse Practitioner Taxonomy 363L00000X · Licence 4704271554 (MI)

Record details

NPI number1215322805
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedApril 1, 2015
Last updated in NPPESOctober 23, 2024
Certification dateOctober 23, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Pic Indiana Pc — 148 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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