Active NPI
Melissa J Wiegand, NP
- Family Nurse Practitioner
- Shelby, MI
National Provider Identifier
1174904429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704230188
- Practice address
- 71 Bevier St
Shelby, MI 49455-1209 - Phone
- (231) 861-2187
- Fax
- (231) 861-5100
- NPI assigned
- Jun 12, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704230188 | MI | Primary |
Addresses
Primary practice location
71 Bevier St
Shelby, MI 49455-1209
Mailing address
PO Box 1848
Muskegon, MI 49443-1848
Phone (231) 727-5211
Other practice location 1
905 E Colby St
Whitehall, MI 49461-1262
Phone (231) 728-5910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Partners | Current | Accepting new patients | |
| Mercy Health Partners | Current | Accepting new patients |
Locations
1700 Oak Ave
Muskegon, MI 49442
Phone (231) 672-6430
71 Bevier St
Shelby, MI 49455
Phone (231) 861-2172
905 E Colby St
Whitehall, MI 49461
Phone (231) 672-8050
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 and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Shelby, MI
- NPI 1154910172
-
- Rural Health Clinic/Center
- Shelby, MI
- NPI 1588080030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538438400000",
"number": "1174904429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1848",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494431848",
"telephone_number": "231-727-5211",
"fax_number": "231-728-4789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 BEVIER ST",
"city": "SHELBY",
"state": "MI",
"postal_code": "494551209",
"telephone_number": "231-861-2187",
"fax_number": "231-861-5100"
}
],
"practiceLocations": [
{
"address_1": "905 E Colby St",
"address_purpose": "LOCATION",
"city": "Whitehall",
"state": "MI",
"postal_code": "494611262",
"country_code": "US",
"telephone_number": "231-728-5910",
"fax_number": "231-728-5918",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WIEGAND",
"first_name": "MELISSA",
"middle_name": "J",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-12",
"last_updated": "2018-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704230188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Oct 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.