Organization Active NPI

Edward W Sparrow Hospital Association

Doing business as University of Michigan Health-Sparrow

  • Adult Health Nurse Practitioner
  • Lansing, MI
National Provider Identifier
1265220438
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
Legal business name
EDWARD W SPARROW HOSPITAL ASSOCIATION
Doing business as
University of Michigan Health-Sparrow
Practice address
1200 E Michigan Ave
Lansing, MI 48912-1800
Phone
(517) 364-5123
NPI assigned
Apr 28, 2025
Last updated
Apr 28, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SPARROW HEALTH SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Authorized official

Name
Misty Gunter Russian
Title
Regional Manager, Provider Enrollme
Phone
(517) 253-6308

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Adult Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2200X Primary

Addresses

Primary practice location

1200 E Michigan Ave
Lansing, MI 48912-1800

Mailing address

8175 Reliable Pkwy
Chicago, IL 60686-0081

Other practice location 1

800 E Columbia St
Mason, MI 48854-1381
Phone (517) 244-8940

Other practice location 2

1600 W Grand River Ave Ste 4
Okemos, MI 48864-2394
Phone (517) 381-6880

Other practice location 3

13191 Schavey Rd Ste 3
DeWitt, MI 48820-9036
Phone (517) 669-9109

Other practice location 4

2900 Hannah Blvd
East Lansing, MI 48823-5384
Phone (517) 364-8000

Other practice location 5

7335 Westshire Dr
Lansing, MI 48917-9703
Phone (517) 622-2788

Other practice location 6

301 Williamston Center Rd
Williamston, MI 48895-8502
Phone (517) 655-5977

Other practice location 7

2446 Jolly Rd Ste B
Okemos, MI 48864-3514
Phone (517) 253-5530

Other practice location 8

230 Temple St
Mason, MI 48854-1851
Phone (517) 244-8981

Other practice location 9

2040 Aurelius Rd Ste 22
Holt, MI 48842-1367
Phone (517) 694-2217

Other practice location 10

2909 E Grand River Ave
Lansing, MI 48912-4300
Phone (517) 364-8686

Other names 2

  • University of Michigan Health-Sparrow Doing business as
  • UM Sparrow Population Health Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160630001252 MI Part B Supplier - Clinic/Group Practice 6709799166 Receives reassigned benefits from 13 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Mason, MI; Williamston, MI; Saint Johns, MI; Okemos, MI; Lansing, MI; Dewitt, MI; Holt, MI; East Lansing, MI

Other NPIs on the same Medicare enrollment 1

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0667489Um Health-Sparrow1200 E Michigan Ave Suite 245a, Lansing, MI 48912Provider-performed microscopyOct 13, 2027
23D0700922Um Health-Sparrow1200 E Michigan Ave Suite 775, Lansing, MI 48912Provider-performed microscopyAug 31, 2026
23D0716756Um Health-Sparrow1200 E Michigan Avenue Suite 500, Lansing, MI 48912Certificate of waiverAug 31, 2026
23D0877127Um Health-Sparrow1200 E Michigan Avenue Suite 345, Lansing, MI 48912Provider-performed microscopySep 28, 2027
23D2168820Um Health-Sparrow1200 E Michigan Ave Ste 510, Lansing, MI 48912Certificate of waiverJul 9, 2027

National Provider Directory

National Provider Directory
Tax ID family
Jan Q Wu MD49 organizations share this tax ID, including this one
Part of
Sparrow Health System

Other organizations with this tax ID 48

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

View all 48

Locations (25 of 36)

800 W Lawrence Ave
#I
Charlotte, MI 48813
Phone (517) 541-5840

13105 Schavey Rd
Ste 5
Dewitt, MI 48820
Phone (517) 669-4233

13191 Schavey Rd
Dewitt, MI 48820
Phone (517) 669-9109

1651 W Lake Lansing Rd
East Lansing, MI 48823
Phone (517) 253-3910

2035 Asher Ct
East Lansing, MI 48823
Phone (517) 337-8580

2900 Hannah Blvd
East Lansing, MI 48823
Phone (517) 336-4520

2900 Hannah Blvd
Ste 204
East Lansing, MI 48823
Phone (517) 336-4590

2900 Hannah Blvd
Ste 210
East Lansing, MI 48823
Phone (517) 336-4575

2900 Hannah Blvd
Ste B107
East Lansing, MI 48823
Phone (517) 364-3659

2900 Hannah Blvd
Ste B114
East Lansing, MI 48823
Phone (517) 364-8110

4660 S Hagadorn Rd
Ste 310
East Lansing, MI 48823
Phone (517) 364-8890

2810 W Grand River Ave
Howell, MI 48843
Phone (517) 364-6020

107 N Washington Sq
Lansing, MI 48933
Phone (517) 253-4004

1100 W Saginaw St
Ste 630
Lansing, MI 48915
Phone (517) 364-6363

1140 E Michigan Ave
Ste 200
Lansing, MI 48912
Phone (517) 364-9400

1200 E Michigan Ave
Ste 400
Lansing, MI 48912
Phone (517) 364-5200

1200 E Michigan Ave
Ste 415
Lansing, MI 48912
Phone (517) 484-2760

1200 E Michigan Ave
Ste 525
Lansing, MI 48912
Phone (517) 485-0546

1200 E Michigan Ave
Ste 760
Lansing, MI 48912
Phone (517) 364-5880

1210 W Saginaw St
Bldg 2
Lansing, MI 48915
Phone (517) 364-7282

1210 W Saginaw St
Fl 4
Lansing, MI 48915
Phone (517) 377-0309

1215 E Michigan Ave
Fl 3
Lansing, MI 48912
Phone (517) 364-2950

1322 E Michigan Ave
Ste 316
Lansing, MI 48912
Phone (517) 483-2577

1515 Lake Lansing Rd
Ste D
Lansing, MI 48912
Phone (517) 484-5033

2710 S Washington Ave
SMG Nephrology
Lansing, MI 48910
Phone (517) 272-1380

Practitioners & affiliated clinicians

Practitioners 1,303

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 1,303

NPI Registry JSON

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

{
    "created_epoch": "1745798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1265220438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8175 RELIABLE PKWY",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606860081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121800",
            "telephone_number": "517-364-5123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 E Columbia St",
            "address_purpose": "LOCATION",
            "city": "Mason",
            "state": "MI",
            "postal_code": "488541381",
            "country_code": "US",
            "telephone_number": "517-244-8940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 W Grand River Ave Ste 4",
            "address_purpose": "LOCATION",
            "city": "Okemos",
            "state": "MI",
            "postal_code": "488642394",
            "country_code": "US",
            "telephone_number": "517-381-6880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13191 Schavey Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "DeWitt",
            "state": "MI",
            "postal_code": "488209036",
            "country_code": "US",
            "telephone_number": "517-669-9109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2900 Hannah Blvd",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488235384",
            "country_code": "US",
            "telephone_number": "517-364-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7335 Westshire Dr",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489179703",
            "country_code": "US",
            "telephone_number": "517-622-2788",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Williamston Center Rd",
            "address_purpose": "LOCATION",
            "city": "Williamston",
            "state": "MI",
            "postal_code": "488958502",
            "country_code": "US",
            "telephone_number": "517-655-5977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2446 Jolly Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Okemos",
            "state": "MI",
            "postal_code": "488643514",
            "country_code": "US",
            "telephone_number": "517-253-5530",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 Temple St",
            "address_purpose": "LOCATION",
            "city": "Mason",
            "state": "MI",
            "postal_code": "488541851",
            "country_code": "US",
            "telephone_number": "517-244-8981",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2040 Aurelius Rd Ste 22",
            "address_purpose": "LOCATION",
            "city": "Holt",
            "state": "MI",
            "postal_code": "488421367",
            "country_code": "US",
            "telephone_number": "517-694-2217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2909 E Grand River Ave",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489124300",
            "country_code": "US",
            "telephone_number": "517-364-8686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EDWARD W SPARROW HOSPITAL ASSOCIATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPARROW HEALTH SYSTEM",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "RUSSIAN",
        "authorized_official_first_name": "MISTY",
        "authorized_official_middle_name": "GUNTER",
        "authorized_official_title_or_position": "REGIONAL MANAGER, PROVIDER ENROLLME",
        "authorized_official_telephone_number": "517-253-6308"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University of Michigan Health-Sparrow",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UM Sparrow Population Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.