NPIMap

Organization Active NPI

Sparrow Eaton Hospital

Doing business as East Lansing Public Schools Health Center

  • School Nurse Practitioner
  • East Lansing, MI
National Provider Identifier
1063227486
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Nurse PractitionerTaxonomy code 363LS0200X
Legal business name
SPARROW EATON HOSPITAL
Doing business as
East Lansing Public Schools Health Center
Practice address
509 Burcham Dr Ste 59
East Lansing, MI 48823-2750
Phone
(517) 253-6320
NPI assigned
Feb 12, 2025
Last updated
Feb 12, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SPARROW HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Authorized official

Name
Misty Gunter Russian
Title
Regional Manager, Provider Enrollme
Phone
(517) 253-6308

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Nurse Practitioner 363LS0200X Primary
School Social Worker 1041S0200X

Addresses

Primary practice location

509 Burcham Dr Ste 59
East Lansing, MI 48823-2750

Mailing address

8175 Reliable Pkwy
Chicago, IL 60686-0081

Other names 1

  • East Lansing Public Schools Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040213000368 MI Part B Supplier - Clinic/Group Practice 0042103509 Receives reassigned benefits from 152 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Lansing, MI; Charlotte, MI; Olivet, MI; Grand Ledge, MI; Eaton Rapids, MI; East Lansing, MI

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2332640East Lansing Public Schools Health Center509 Burcham Drive Suite 59, East Lansing, MI 48823Certificate of waiverOct 21, 2027

National Provider Directory

National Provider Directory
Part of
Sparrow Health System

Locations

1068 Carlisle Hwy
Charlotte, MI 48813
Phone (517) 541-5800

111 Lansing St
Ste 110
Charlotte, MI 48813
Phone (517) 541-5855

123 Lansing St
Lowr Level
Charlotte, MI 48813
Phone (517) 541-5845

123 Lansing St
Ste 200
Charlotte, MI 48813
Phone (517) 543-5110

123 Lansing St
Ste B
Charlotte, MI 48813
Phone (517) 541-5954

616 Meijer Dr
Ste 202
Charlotte, MI 48813
Phone (517) 543-7976

509 Burcham Dr
Ste 59
East Lansing, MI 48823
Phone (517) 333-7500

1415 S Main St
Eaton Rapids, MI 48827
Phone (517) 663-4809

4545 Butterfield Hwy
Olivet, MI 49076
Phone (517) 541-5800

Practitioners & affiliated clinicians

Practitioners 157

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 157

NPI Registry JSON

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1063227486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8175 RELIABLE PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606860081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 BURCHAM DR STE 59",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488232750",
            "telephone_number": "517-253-6320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARROW EATON HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPARROW HEALTH SYSTEM",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "RUSSIAN",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "GUNTER",
        "authorized_official_title_or_position": "REGIONAL MANAGER, PROVIDER ENROLLME",
        "authorized_official_telephone_number": "517-253-6308"
    },
    "taxonomies": [
        {
            "code": "363LS0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, School",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Lansing Public Schools Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.