Mercy Health Partners
Organization Active NPI Certified Registered Nurse Anesthetist · Shelby, MI
NPI 1154910172 · NPPES record last updated Nov 21, 2022
Key facts
- NPI
- 1154910172
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- Legal business name
- MERCY HEALTH PARTNERS
- Practice address
- 72 S State St
Shelby, MI 49455-1228 - Phone
- (231) 861-3001
- Fax
- (231) 861-5100
- NPI assigned
- Jan 14, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- MERCY HEALTH PARTNERS
Authorized official
- Name
- Betty Eller
- Title
- Credentialing
- Phone
- (231) 672-2120
Other NPIs on the same Medicare enrollment 11
Other NPIs with the same Medicare PAC ID 10
Corporate family (same tax ID) 19
Member organizations 16
Practitioners 216
-
Kaitlyn Marie Allore, DPT
-
Somer L Bareman, NP
-
Brandon James Bishop, OTRL
-
Marstie Sue Bunting, D-NP
-
John P Cooney, DO
-
Kevin Fitzgerald, PMHNP-BC
-
Keri Ann Foster, NP
-
Kismet Gray, MD
-
Kevin Hengeveld, DNP, RN, A-GNP
-
Sara Lynn Hilton, FNP
-
Patricia M Jurcich, RN,MSN,FNP-C
-
Conrad Kozlowski, MD
-
Mike Kozminski, M.D.
-
Carey Allen Krause, D.O.
-
Robert M Lynagh, D.O.
-
Sonja Dietta Mayo, LMSW
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140415001839 | MI | Part B Supplier - Clinic/Group Practice | 1456430016 |
Receives reassigned benefits from 120 practitioners 11 other NPIs on this enrollment Practice locations: Hart, MI; Ludington, MI; Muskegon, MI; Shelby, MI; Sparta, MI; Whitehall, MI |
National Provider Directory
- Tax ID family
- Mercy Health Partners
- Part of
- Mercy Health Partners
Locations
1445 Sheldon Rd
Ste 302
Grand Haven, MI 49417
Phone (616) 296-1640
1500 E Sherman Blvd
#1100
Muskegon, MI 49444
Phone (231) 672-2203
1223 Mercy Dr
Muskegon, MI 49444
Phone (231) 672-3177
1400 Mercy Dr
#50
Muskegon, MI 49444
Phone (231) 672-6940
1675 Leahy St
Ste 328B
Muskegon, MI 49442
Phone (231) 727-3098
221 S Quarterline Rd
Ste 100
Muskegon, MI 49442
Phone (231) 672-7180
1400 Mercy Dr
Ste 50
Muskegon, MI 49444
Phone (231) 672-6000
1150 E Sherman Blvd
Ste 1400
Muskegon, MI 49444
Phone (231) 672-2204
1560 E Sherman Blvd
Ste 105
Muskegon, MI 49444
Phone (231) 672-3905
1150 E Sherman Blvd
Ste 1200
Muskegon, MI 49444
Phone (231) 672-6259
1150 E Sherman Blvd
Ste 2100
Muskegon, MI 49444
Phone (231) 672-8768
1150 E Sherman Blvd
Ste 2400
Muskegon, MI 49444
Phone (231) 672-4243
1150 E Sherman Blvd
Ste 1100
Muskegon, MI 49444
Phone (231) 672-2203
1675 Leahy St
Ste 201A
Muskegon, MI 49442
Phone (231) 672-6600
3570 Henry St
Ste 110
Norton Shores, MI 49441
Phone (231) 672-6259
3570 Henry St
Ste 200
Norton Shores, MI 49441
Phone (231) 672-2836
6207 Harvey St
Norton Shores, MI 49444
Phone (231) 672-2230
3587 Henry St
Norton Shores, MI 49441
Phone (231) 672-6700
3570 Henry St
Ste 210
Norton Shores, MI 49441
Phone (231) 672-7726
3570 Henry St
Norton Shores, MI 49441
Phone (231) 370-1286
15151 Stanton St
Ste A
West Olive, MI 49460
Phone (616) 296-1020
905 E Colby St
Ste 140
Whitehall, MI 49461
Phone (231) 672-8010
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist |
367500000X | Yes |
Addresses
Primary practice location
72 S State St
Shelby, MI 49455-1228
Mailing address
72 S State St
Shelby, MI 49455-1228
Other names
- Trinity Health Medical Group
Other providers in Shelby, MI
- Lakeshore Community Hospital, Inc.
- Lakeshore Emergency Solutions, PLLC
- Shannon Marie Larson
- Steven Richard Lessens
- Carol L Mast
- Mercy Health Partners
- Mercy Health Partners
- Mercy Health Partners
- Mercy Health Partners
- Mercy Health Partners
All providers in Shelby, MI · Certified Registered Nurse Anesthetist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.