Active NPI
Christine Larsen Shafer, M.D.
- Psychiatry Physician
- East Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301042634
- Practice address
- 909 Wilson Rd RM B119
East Lansing, MI 48824-6410 - Phone
- (517) 353-3070
- Fax
- (517) 884-1817
- NPI assigned
- Dec 5, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301042634 | MI | Primary |
Addresses
Primary practice location
909 Wilson Rd RM B119
East Lansing, MI 48824-6410
Mailing address
804 Service Rd Ste A109B
East Lansing, MI 48824-7015
Phone (517) 353-3070
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Michigan State University College of Human Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
909 Wilson Rd
Suite B119
East Lansing, MI 48824-6410
Phone (517) 353-3070
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301042634 | MI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward W Sparrow Hospital Association | Current | Accepting new patients | |
| Michigan State University | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Current | Accepting new patients | |
| Msu Health Care Inc | Current | Accepting new patients | |
| Msu Health Care Inc. | Current | Accepting new patients | |
| Edward W. Sparrow Hospital Association | Psychiatry | Current | Accepting new patients |
| Michigan State University | Psychiatry | Current | Accepting new patients |
| Michigan State University | Psychiatry | Current | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
804 Service Rd
#A109F
East Lansing, MI 48824
Phone (517) 884-2976
909 Wilson Rd
Ste B119
East Lansing, MI 48824
4660 S Hagadorn Rd
Ste 500
East Lansing, MI 48823
Phone (517) 432-6144
804 Service Rd
Ste A109B
East Lansing, MI 48824
Phone (517) 884-2976
909 Wilson Rd
Rm B119
East Lansing, MI 48824
Phone (517) 355-3070
1210 W Saginaw St
Fl 2
Lansing, MI 48915
Phone (517) 364-7575
1210 W Saginaw St
Lansing, MI 48915
Phone (517) 364-7180
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
Interoperability endpoints
- christine.shafer.1@25394.direct.athenahealth.com
Organizations & group practices 8
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.
-
- Allergy & Immunology Physician
- East Lansing, MI
- NPI 1700418670
-
- Pediatrics Physician
- Lansing, MI
- NPI 1831139088
-
- Adult Health Nurse Practitioner
- Lansing, MI
- NPI 1265220438
-
- Psychiatry Physician
- Lansing, MI
- NPI 1811942436
-
- Psychiatry Physician
- East Lansing, MI
- NPI 1164973418
-
- Local Education Agency (LEA)
- East Lansing, MI
- NPI 1184182982
-
- Physical Therapist
- East Lansing, MI
- NPI 1689206419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687824000000",
"number": "1083698930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 SERVICE RD STE A109B",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488247015",
"telephone_number": "517-353-3070",
"fax_number": "517-884-1817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 WILSON RD RM B119",
"city": "EAST LANSING",
"state": "MI",
"postal_code": "488246410",
"telephone_number": "517-353-3070",
"fax_number": "517-884-1817"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFER",
"first_name": "CHRISTINE",
"middle_name": "LARSEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-05",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301042634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jun 27, 2023; 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.