Individual provider Active NPI

Sada Mae Brown, NP

  • Family Nurse Practitioner
  • Lakeview, MI
National Provider Identifier
1154870483
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704255916 Issued in MI
Practice address
8650 Howard City Edmore Rd
Lakeview, MI 48850-7102
Phone
(989) 352-6474
NPI assigned
Sep 28, 2016
Last updated
Jun 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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 4704255916 MI Primary

Addresses

Primary practice location

8650 Howard City Edmore Rd
Lakeview, MI 48850-7102

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/
Direct Messaging Address sbrown288060@epic00.shdirect.org

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
I20161012000781 MI Practitioner - Nurse Practitioner 1951699602 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Health UnitedGroup PAC ID 6305836487, 90 clinicians

Practice addresses (Care Compare)

1202 W Oak St
Greenville, MI 48838-2155

8650 Howard City Edmore Rd
Lakeview, MI 48850-9115

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Health United CurrentSince Jun 28, 2021 Accepting new patients
Degara App, PLLC Emergency Medicine CurrentSince Oct 1, 2018 Accepting new patients
Mecosta County Medical Center CurrentSince Jun 28, 2021 Accepting new patients
Mecosta County Medical Center Nurse Practitioner CurrentSince Jun 28, 2021 Accepting new patients
Reed City Hospital Corporation CurrentSince Jun 28, 2021 Accepting new patients
Mecosta County Medical Center Current Accepting new patients
Spectrum Health United CurrentSince Jun 28, 2021 Accepting new patients
Pennock Hospital Nurse Practitioner CurrentSince Jun 28, 2021 Accepting new patients
Isabella Urgent Care, PLLC CurrentSince Sep 20, 2016 Accepting new patients
Pennock Hospital CurrentSince Jun 28, 2021 Accepting new patients
Reed City Hospital Corporation CurrentSince Jun 28, 2021 Accepting new patients

Locations

1227 W State St
Belding, MI 48809
Phone (616) 794-0800

14755 215th Ave
Big Rapids, MI 49307
Phone (231) 592-4234

605 Oak St
Big Rapids, MI 49307
Phone (231) 592-1079

650 Linden St
Ste 1
Big Rapids, MI 49307
Phone (231) 796-3200

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

1202 W Oak St
Greenville, MI 48838
Phone (616) 754-2944

1005 W Green St
Ste 300
Hastings, MI 49058
Phone (269) 948-8411

2776 S State Rd
Ionia, MI 48846
Phone (616) 267-8700

418 Washington St
Lakeview, MI 48850
Phone (989) 352-6474

8650 Howard City Edmore Rd
Lakeview, MI 48850
Phone (989) 352-1800

1701 Lake Lansing Rd
Ste 100
Lansing, MI 48912
Phone (517) 485-9676

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

4950 E Blue Grass Rd
Mt Pleasant, MI 48858
Phone (989) 317-0565

300 N Patterson Rd
Reed City, MI 49677
Phone (231) 832-3271

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24242/brand/1/csg/1/fhir/r4
  • Direct secure messaging: sbrown288060@epic00.corewelldirect.org
  • Direct secure messaging: sbrown288060@epic00.shdirect.org

Organizations & group practices 12

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 2

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": "1475020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1154870483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8650 HOWARD CITY EDMORE RD",
            "city": "LAKEVIEW",
            "state": "MI",
            "postal_code": "488507102",
            "telephone_number": "989-352-6474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "SADA",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-28",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704255916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "8650 Howard City Edmore Rd",
            "city": "Lakeview",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488507102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbrown288060@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "8650 Howard City Edmore Rd",
            "city": "Lakeview",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488507102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakeview, MI

Sources for this page

Verify at the official NPI Registry.