NPIMap

Organization Active NPI

Mercy Health Partners

Doing business as Trinity Health Medical Group

  • Certified Registered Nurse Anesthetist
  • Shelby, MI
National Provider Identifier
1154910172
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
MERCY HEALTH PARTNERS
Doing business as
Trinity Health Medical Group
Practice address
72 S State St
Shelby, MI 49455-1228
Phone
(231) 861-3001
Fax
(231) 861-5100
NPI assigned
Jan 14, 2021
Last updated
Nov 21, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
MERCY HEALTH PARTNERSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Authorized official

Name
Betty Eller
Title
Credentialing
Phone
(231) 672-2120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X Primary

Addresses

Primary practice location

72 S State St
Shelby, MI 49455-1228

Mailing address

72 S State St
Shelby, MI 49455-1228

Other names 1

  • Trinity Health Medical Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Mercy Health Partners20 organizations share this tax ID, including this one
Part of
Mercy Health Partners

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

14 N 3rd Ave
Fruitport, MI 49415
Phone (231) 672-2230

1445 Sheldon Rd
Ste 300
Grand Haven, MI 49417
Phone (616) 296-1500

1150 E Sherman Blvd
Ste 1400
Muskegon, MI 49444
Phone (231) 672-3020

1150 E Sherman Blvd
Ste 2100
Muskegon, MI 49444
Phone (231) 672-8768

1277 Mercy Dr
Muskegon, MI 49444
Phone (231) 672-6186

1325 Mercy Dr
Muskegon, MI 49444
Phone (231) 672-2201

1400 Mercy Dr
#50
Muskegon, MI 49444
Phone (231) 672-6940

1400 Mercy Dr
Ste 50
Muskegon, MI 49444
Phone (231) 672-6000

1500 E Sherman Blvd
#1100
Muskegon, MI 49444
Phone (231) 672-2203

1560 E Sherman Blvd
Ste 105
Muskegon, MI 49444
Phone (231) 672-3905

1675 Leahy St
Ste 328B
Muskegon, MI 49442
Phone (231) 727-3098

1675 Leahy St
Ste 401
Muskegon, MI 49442
Phone (231) 727-4243

221 S Quarterline Rd
Ste 100
Muskegon, MI 49442
Phone (231) 672-7180

481 Shoreline Dr
Muskegon, MI 49440
Phone (231) 672-6000

1915 Holton Rd
North Muskegon, MI 49445
Phone (231) 672-3333

3535 Park St
Ste 100
Norton Shores, MI 49444
Phone (231) 733-3155

3570 Henry St
Norton Shores, MI 49441
Phone (231) 370-1286

3570 Henry St
Ste 110
Norton Shores, MI 49441
Phone (231) 672-6259

3570 Henry St
Ste 130
Norton Shores, MI 49441
Phone (231) 370-1286

3570 Henry St
Ste 200
Norton Shores, MI 49441
Phone (231) 672-2836

3570 Henry St
Ste 210
Norton Shores, MI 49441
Phone (231) 672-7726

6207 Harvey St
Norton Shores, MI 49444
Phone (231) 672-2230

72 S State St
Shelby, MI 49455
Phone (231) 728-4601

905 E Colby St
Ste 120
Whitehall, MI 49461
Phone (231) 672-6259

905 E Colby St
Ste 140
Whitehall, MI 49461
Phone (231) 672-8010

Practitioners & affiliated clinicians

Practitioners 215

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 215

NPI Registry JSON

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1154910172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 S STATE ST",
            "city": "SHELBY",
            "state": "MI",
            "postal_code": "494551228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 S STATE ST",
            "city": "SHELBY",
            "state": "MI",
            "postal_code": "494551228",
            "telephone_number": "231-861-3001",
            "fax_number": "231-861-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH PARTNERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HEALTH PARTNERS",
        "enumeration_date": "2021-01-14",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A",
        "authorized_official_last_name": "ELLER",
        "authorized_official_first_name": "BETTY",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "231-672-2120"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shelby, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.