Petra Holka, NURSE PRACTITIONER
Petra Holka, NURSE PRACTITIONER is an Adult Health Nurse Practitioner in Warren, MI, registered under NPI 1790164176. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 11800 E 12 MILE RD, Warren, MI 48093. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 4704201730 | MI | Adult Health Nurse Practitioner primary |
This provider holds licence 4704201730 issued in MI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Order And Referring Only - Nurse Practitioner
- PAC ID
- 4183924681
- Enrollment ID
- I20151207001567
Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Adult Health covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LA2200X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1790164176 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | May 19, 2015 |
| Last updated | May 19, 2015 |
| Status | Active |
| Sole proprietor | Yes |
| Credential | NURSE PRACTITIONER |
| Practice address |
11800 E 12 MILE RD Warren, MI 48093 (586) 573-5000 |
| Mailing address |
44666 GEORGIA CT Clinton Township, MI 48038 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 9 | 0 | 1 | 6 | 4 | 1 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 9 | 0 | 2 | 6 | 8 | 1 | 5 |
Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.