Individual provider Active NPI

Shelbi S Ramon, FNP-C

  • Family Nurse Practitioner
  • Bay City, MI
National Provider Identifier
1114593514
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704320989 Issued in MI
Practice address
2110 16TH St Ste 4
Bay City, MI 48708-7609
Phone
(989) 891-9000
Fax
(989) 891-9876
NPI assigned
May 27, 2021
Last updated
May 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704320989 MI Primary

Addresses

Primary practice location

2110 16TH St Ste 4
Bay City, MI 48708-7609

Mailing address

PO Box 725
Standish, MI 48658-0725
Phone (989) 718-3564

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
I20210615003517 MI Practitioner - Nurse Practitioner 8921408782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Great Lakes Medical Center PLLCGroup PAC ID 6305974627, 4 clinicians

Practice addresses (Care Compare)

2110 16TH St
Suite 4
Bay City, MI 48708-7609
Phone (989) 891-9000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Medical Center PLLC CurrentSince Jun 30, 2021 Accepting new patients
Tazeen Ahmed LLC CurrentSince Jun 22, 2021 Accepting new patients

Locations

2110 16th St
Bay City, MI 48708
Phone (989) 891-9000

2110 16th St
Ste 4
Bay City, MI 48708
Phone (989) 891-9000

Interoperability endpoints

  • Direct secure messaging: sramon100949@direct.covenanthealthcare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1114593514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 725",
            "city": "STANDISH",
            "state": "MI",
            "postal_code": "486580725",
            "telephone_number": "989-718-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 16TH ST STE 4",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487087609",
            "telephone_number": "989-891-9000",
            "fax_number": "989-891-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMON",
        "first_name": "SHELBI",
        "middle_name": "S",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704320989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.