Individual provider Active NPI

Lindsi Ann Shaw, MSN, FNP-BC

  • Family Nurse Practitioner
  • Walled Lake, MI
National Provider Identifier
1245513282
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704252942 Issued in MI
Practice address
100 W West Maple Rd
Walled Lake, MI 48390-3402
Phone
(248) 624-4555
NPI assigned
Sep 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704252942 MI Primary

Addresses

Primary practice location

100 W West Maple Rd
Walled Lake, MI 48390-3402

Mailing address

100 W West Maple Rd
Walled Lake, MI 48390-3402
Phone (248) 624-4555

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
I20140723000309 MI Practitioner - Nurse Practitioner 6800012113 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Michigan PCGroup PAC ID 9133123755, 40 clinicians

Practice addresses (Care Compare)

100 W W Maple Rd
Walled Lake
Walled Lake, MI 48390-3402
Phone (866) 389-2727

1402 W 14 Mile Rd
Clawson
Clawson, MI 48017-1499
Phone (866) 389-2727

209 S State St
Ann Arbor S State St
Ann Arbor, MI 48104-2005
Phone (866) 389-2727

2115 25 Mile Rd
Shelby Township, MI 48316-1097
Phone (866) 389-2727

3010 Walton Blvd
Rochester Hills
Rochester Hills, MI 48309-1264
Phone (866) 389-2727

39350 9 Mile Rd
Northville, MI 48167-9164
Phone (866) 389-2727

44300 5 Mile Rd
Northville, MI 48168-9504
Phone (866) 389-2727

45300 Cherry Hill Rd
Canton, MI 48187-5073
Phone (866) 389-2727

Merit-based Incentive Payment System (MIPS)

Final score
81.3 of 100Reported as group
Quality
76.96
Improvement activities
40
Cost
79.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704252942MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Michigan PC Family CurrentSince Jul 21, 2014 Accepting new patients
Minuteclinic Primary Care-Michigan PLLC Family CurrentSince Sep 12, 2025 Accepting new patients

Locations

209 S State St
Ann Arbor, MI 48104
Phone (734) 769-1804

44300 5 Mile Rd
Northville, MI 48168
Phone (734) 416-1883

39350 9 Mile Rd
Northville Township, MI 48167
Phone (248) 735-6081

3010 Walton Blvd
Rochester Hills, MI 48309
Phone (248) 375-2810

100 W West Maple Rd
Walled Lake, MI 48390
Phone (248) 624-4555

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722

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": "1316995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1245513282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W WEST MAPLE RD",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903402",
            "telephone_number": "248-624-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W WEST MAPLE RD",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903402",
            "telephone_number": "248-624-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "LINDSI",
        "middle_name": "ANN",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-26",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704252942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walled Lake, MI

Sources for this page

Verify at the official NPI Registry.