Active NPI
Shelby Miller, NP
- Nurse Practitioner
- West Branch, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704307213
- Practice address
- 640 Court St
West Branch, MI 48661-9390 - Phone
- (989) 345-8120
- Fax
- (989) 345-8129
- NPI assigned
- Sep 22, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704307213 | MI | Primary |
Addresses
Primary practice location
640 Court St
West Branch, MI 48661-9390
Mailing address
4000 Wellness Dr
Midland, MI 48670-2000
Phone (844) 832-1956
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
335 E Houghton Ave
West Branch, MI 48661-1127
Phone (989) 345-8130
515 Quarter St
Gladwin, MI 48624-1959
Phone (989) 426-9286
Hospital & facility affiliations
- Heartland Home Health (West Branch)
- Mymichigan Medical Center West Branch
- Mymichigan Medical Center Gladwin
- Tawas St Joseph Hospital
- Mymichigan Medical Center Midland
- Mymichigan Medical Center Saginaw
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704307213 | MI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mymichigan Medical Center Gladwin | Current | Accepting new patients | |
| Mymichigan Medical Center Gladwin | Current | Accepting new patients |
Locations
321 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0957
602 Beech St
Ste 1100
Clare, MI 48617
Phone (989) 386-9911
609 Quarter St
Gladwin, MI 48624
Phone (989) 246-6371
515 Quarter St
Gladwin, MI 48624
Phone (989) 246-6201
2618 W Sugnet Rd
Midland, MI 48640
Phone (989) 633-5237
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
335 E Houghton Ave
West Branch, MI 48661
Phone (989) 343-3154
640 Court St
West Branch, MI 48661
Phone (989) 343-3730
Interoperability endpoints
- smiller8562@mymichiganhealth.midirect.net
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.
-
- General Practice Physician
- Gladwin, MI
- NPI 1881869774
-
- Medicare Defined Swing Bed Hospital Unit
- Gladwin, MI
- NPI 1588374813
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- West Branch, MI
- NPI 1073214177
-
- Critical Access Hospital
- Gladwin, MI
- NPI 1235248071
-
- General Acute Care Hospital
- Midland, MI
- NPI 1376973149
-
- General Acute Care Hospital
- Midland, MI
- NPI 1902841414
-
- General Acute Care Hospital
- Saginaw, MI
- NPI 1871507509
-
- General Acute Care Hospital
- Tawas City, MI
- NPI 1194713461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600732800000",
"number": "1083220388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 WELLNESS DR",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486702000",
"telephone_number": "844-832-1956",
"fax_number": "989-633-5241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 COURT ST",
"city": "WEST BRANCH",
"state": "MI",
"postal_code": "486619390",
"telephone_number": "989-345-8120",
"fax_number": "989-345-8129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "SHELBY",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-22",
"last_updated": "2020-09-22",
"certification_date": "2020-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704307213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Branch, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.