Individual provider Active NPI

Shelley Anne Schertzer, NP

  • Addiction Medicine (Family Medicine) Physician
  • Holland, MI
National Provider Identifier
1194137059
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X
License
4704247038 Issued in MI
Practice address
483 Century LN
Holland, MI 49423-4286
Phone
(616) 842-6710
Fax
(616) 842-1103
NPI assigned
May 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704247038 MI
Addiction Medicine (Family Medicine) Physician 207QA0401X 4704247038 MI Primary

Addresses

Primary practice location

483 Century LN
Holland, MI 49423-4286

Mailing address

483 Century LN
Holland, MI 49423-4286
Phone (616) 396-5284

Other names 1

  • Shelley Anne Gallagher Former name

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
I20160420000943 MI Practitioner - Nurse Practitioner 8325346612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reach for Recovery IncGroup PAC ID 1052415866, 6 clinicians

Practice addresses (Care Compare)

700 Washington Ave
Suite 220
Grand Haven, MI 49417-1462
Phone (616) 842-6710

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704247038MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Reach for Recovery, Inc. CurrentSince Oct 17, 2024 Accepting new patients
Reach for Recovery, Inc. CurrentSince Oct 17, 2024 Accepting new patients

Locations

483 Century Ln
Holland, MI 49423
Phone (616) 396-5284

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.

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1194137059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 CENTURY LN",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234286",
            "telephone_number": "616-396-5284",
            "fax_number": "616-396-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 CENTURY LN",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234286",
            "telephone_number": "616-842-6710",
            "fax_number": "616-842-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHERTZER",
        "first_name": "SHELLEY",
        "middle_name": "ANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-27",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704247038",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "MI",
            "license": "4704247038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLEY",
            "last_name": "GALLAGHER",
            "middle_name": "ANNE",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Holland, MI

Sources for this page

Verify at the official NPI Registry.