Individual provider Active NPI

Shelby Arnold, NP

  • Nurse Practitioner
  • Lansing, MI
National Provider Identifier
1073244091
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704319461 Issued in MI
Practice address
1540 Lake Lansing Rd Ste G6
Lansing, MI 48912-3757
Phone
(517) 482-7246
Fax
(517) 484-7377
NPI assigned
Jun 21, 2022
Last updated
Jun 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704319461 MI Primary

Addresses

Primary practice location

1540 Lake Lansing Rd Ste G6
Lansing, MI 48912-3757

Mailing address

1540 Lake Lansing Rd Ste G6
Lansing, MI 48912-3757
Phone (517) 482-7246

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
I20221116002057 MI Practitioner - Nurse Practitioner 0648648097 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704319461MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Michigan Pain Center PLLC CurrentSince Apr 1, 2024 Accepting new patients

Locations

205 S Dexter St
Ionia, MI 48846
Phone (517) 482-7246

3565 S State Rd
Ionia, MI 48846
Phone (616) 523-1498

1200 E Michigan Ave
Lowr
Lansing, MI 48912
Phone (517) 364-5252

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

1540 Lake Lansing Rd
Ste G6
Lansing, MI 48912
Phone (517) 482-7246

560 W 465 N
Ste 604
Providence, UT 84332
Phone (435) 753-1600

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1073244091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 LAKE LANSING RD STE G6",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123757",
            "telephone_number": "517-482-7246",
            "fax_number": "517-484-7377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 LAKE LANSING RD STE G6",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489123757",
            "telephone_number": "517-482-7246",
            "fax_number": "517-484-7377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "SHELBY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704319461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.