Individual provider Active NPI

Kris Wheeler, LMSW

  • Clinical Social Worker
  • Sandusky, MI
National Provider Identifier
1114256500
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801088631 Issued in MI
Practice address
227 E Sanilac Rd
Sandusky, MI 48471-1160
Phone
(810) 648-0330
Fax
(810) 648-5107
NPI assigned
Dec 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801088631 MI Primary

Addresses

Primary practice location

227 E Sanilac Rd
Sandusky, MI 48471-1160

Mailing address

227 E Sanilac Rd
Sandusky, MI 48471-1160
Phone (810) 648-0330

Other practice location 1

2100 Hemmeter Rd
Saginaw, MI 48603-3944
Phone (989) 799-2100

Other identifiers 2

IdentifierTypeStateIssuer
382143740OtherMITAX ID
730195MedicaidMI

Other names 1

  • Kris Curtis Former name

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100225000133 MI Practitioner - Clinical Social Worker 1850435058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scheurer HospitalGroup PAC ID 1456242296, 49 clinicians

Practice addresses (Care Compare)

108 N Caseville Rd
Pigeon, MI 48755-9704

135 N Caseville Rd
Pigeon, MI 48755-9704
Phone (989) 453-3798

170 N Caseville Rd
Pigeion, MI 48755-9704

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Scheurer Hospital Clinical CurrentSince Apr 30, 2024 Accepting new patients
Scheurer Hospital CurrentSince Apr 30, 2024 Accepting new patients
Scheurer Hospital Current Accepting new patients
Scheurer Hospital Past Accepting new patients
Scheurer Hospital Past Accepting new patients
Scheurer Hospital Past Accepting new patients
Scheurer Hospital Past Accepting new patients
Scheurer Hospital Past Accepting new patients

Locations

75 Buschlen Rd
Bad Axe, MI 48413
Phone (989) 453-7301

108 N Caseville Rd
Pigeon, MI 48755
Phone (989) 453-7301

168 N Caseville Rd
Pigeon, MI 48755
Phone (989) 453-2141

616 Unionville Rd
Sebewaing, MI 48759
Phone (989) 883-9088

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.

NPI Registry JSON

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

{
    "created_epoch": "1260748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1114256500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 E SANILAC RD",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484711160",
            "telephone_number": "810-648-0330",
            "fax_number": "810-648-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 E SANILAC RD",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484711160",
            "telephone_number": "810-648-0330",
            "fax_number": "810-648-5107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Hemmeter Rd",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486033944",
            "country_code": "US",
            "telephone_number": "989-799-2100",
            "fax_number": "989-799-2637",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "KRIS",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801088631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "382143740",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "730195",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRIS",
            "last_name": "CURTIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sandusky, MI

Sources for this page

Verify at the official NPI Registry.