Individual provider Active NPI

Shannon Bielski Derscheid, DC

  • Chiropractor
  • Spring Arbor, MI
National Provider Identifier
1194295436
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010688 Issued in MI
Practice address
215 E Main St
Spring Arbor, MI 49283-9673
Phone
(517) 796-3119
Fax
(517) 795-2775
NPI assigned
Nov 29, 2018
Last updated
Jun 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010688 MI Primary

Addresses

Primary practice location

215 E Main St
Spring Arbor, MI 49283-9673

Mailing address

215 E Main St
Spring Arbor, MI 49283-9673
Phone (517) 795-2775

Other names 1

  • Shannon Marie Bielski Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190211002233 MI Practitioner - Chiropractic 6709124134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

215 E Main St
Spring Arbor, MI 49283-9673
Phone (517) 795-2775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Chiropractic Spring Arbor, PLLC Chiropractor CurrentSince Dec 24, 2018 Accepting new patients

Locations

215 E Main St
Spring Arbor, MI 49283
Phone (517) 795-2775

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1543449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1194295436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E MAIN ST",
            "city": "SPRING ARBOR",
            "state": "MI",
            "postal_code": "492839673",
            "telephone_number": "517-795-2775",
            "fax_number": "517-796-3119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E MAIN ST",
            "city": "SPRING ARBOR",
            "state": "MI",
            "postal_code": "492839673",
            "telephone_number": "517-796-3119",
            "fax_number": "517-795-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERSCHEID",
        "first_name": "SHANNON",
        "middle_name": "BIELSKI",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-29",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "BIELSKI",
            "middle_name": "MARIE",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spring Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.