Individual provider Active NPI

Cherrell Monik Shells, N.P.-C

  • Family Health Clinical Nurse Specialist
  • Flint, MI
National Provider Identifier
1033410451
Registry record updated Jun 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
4704251467 Issued in MI
Practice address
2700 Robert T Longway Blvd Ste B
Flint, MI 48503-2190
Phone
(810) 235-2001
Fax
(810) 235-2841
NPI assigned
Nov 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse Specialist 364SF0001X 4704251467 MI Primary

Addresses

Primary practice location

2700 Robert T Longway Blvd Ste B
Flint, MI 48503-2190

Mailing address

Michigan Health Specialists
2700 Robert T. Longway Blvd. - Ste B
Flint, MI 48503
Phone (810) 235-2004

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110405000875 MI Practitioner - Nurse Practitioner 4385828052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Coverage Services PCGroup PAC ID 3678536398, 28 clinicians

Practice addresses (Care Compare)

2700 Robert T Longway Blvd
Flint, MI 48503-2190

2700 Robert T Longway Blvd B
Flint, MI 48503-2190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Coverage Services PC CurrentSince Dec 25, 2010 Accepting new patients
Physician Coverage Services Past Accepting new patients

Locations

1125 S Linden Rd
Ste 210
Flint, MI 48532
Phone (810) 230-3370

2700 Robert T Longway Blvd
Ste B
Flint, MI 48503
Phone (810) 235-2004

Interoperability endpoints

  • Direct secure messaging: cshells24602@direct.hurleymc.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": "1289952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1033410451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MICHIGAN HEALTH SPECIALISTS",
            "address_2": "2700 ROBERT T. LONGWAY BLVD. - STE B",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48503",
            "telephone_number": "810-235-2004",
            "fax_number": "810-235-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 ROBERT T LONGWAY BLVD STE B",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032190",
            "telephone_number": "810-235-2001",
            "fax_number": "810-235-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELLS",
        "first_name": "CHERRELL",
        "middle_name": "MONIK",
        "name_prefix": "Mrs.",
        "credential": "N.P.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-17",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "MI",
            "license": "4704251467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.