Individual provider Active NPI

Michelle Shumunov, CNM

  • Midwife
  • Royal Oak, MI
National Provider Identifier
1003787920
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
4704431857 Issued in MI
Practice address
32686 Woodward Ave
Royal Oak, MI 48073-0951
Phone
(248) 645-0840
NPI assigned
Sep 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 4704431857 MI Primary

Addresses

Primary practice location

32686 Woodward Ave
Royal Oak, MI 48073-0951

Mailing address

1428 S Lapeer Rd
Lake Orion, MI 48360-1437
Phone (248) 693-0543

Other practice location 1

1428 S Lapeer Rd
Lake Orion, MI 48360-1437
Phone (248) 693-3543

Other practice location 2

5701 Bow Pointe Dr Ste 350
Clarkston, MI 48346-5406
Phone (248) 384-8020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251016000861 MI Practitioner - Certified Nurse Midwife (CNM) 4082101704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Yale University School of Medicine, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10 Bellevue Rd
New Haven, CT 06511-2810

1428 S Lapeer Rd
Lake Orion, MI 48360-1437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
4704431857MIMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Healthcare Associates of Oakland PLLC CurrentSince Sep 25, 2025 Accepting new patients
Henry Ford Macomb Hospital Corporation PastSince Sep 21, 2025 Accepting new patients

Locations

5701 Bow Pointe Dr
Ste 350
Clarkston, MI 48346
Phone (248) 384-8020

1428 S Lapeer Rd
Lake Orion, MI 48360
Phone (248) 693-0543

32686 Woodward Ave
Royal Oak, MI 48073
Phone (248) 645-0840

Interoperability endpoints

  • Direct secure messaging: michelle.shumunov.1@8250.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1003787920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 S LAPEER RD",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483601437",
            "telephone_number": "248-693-0543",
            "fax_number": "248-693-3683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32686 WOODWARD AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730951",
            "telephone_number": "248-645-0840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1428 S Lapeer Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Orion",
            "state": "MI",
            "postal_code": "483601437",
            "country_code": "US",
            "telephone_number": "248-693-3543",
            "fax_number": "248-693-3683",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5701 Bow Pointe Dr Ste 350",
            "address_purpose": "LOCATION",
            "city": "Clarkston",
            "state": "MI",
            "postal_code": "483465406",
            "country_code": "US",
            "telephone_number": "248-384-8020",
            "fax_number": "248-693-3683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUMUNOV",
        "first_name": "MICHELLE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "MI",
            "license": "4704431857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.