Individual provider Active NPI

Shelli Suzanne Oesch, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Hastings, MI
National Provider Identifier
1316613888
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704270969 Issued in MI
Practice address
1375 W Green St
Hastings, MI 49058-1700
Phone
(269) 945-7497
Fax
(269) 945-0214
NPI assigned
Aug 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704270969 MI Primary

Addresses

Primary practice location

1375 W Green St
Hastings, MI 49058-1700

Mailing address

1375 W Green St
Hastings, MI 49058-1700
Phone (269) 945-7497

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
I20211007002024 MI Practitioner - Nurse Practitioner 0547668485 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4704270969MIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Tree Medical Associates PC CurrentSince Sep 8, 2021 Accepting new patients
Hear Michigan, Inc PastSince Sep 8, 2021 Accepting new patients

Locations

1375 W Green St
Ste 1
Hastings, MI 49058
Phone (269) 945-7497

1375 W Green St
Hastings, MI 49058
Phone (269) 945-2222

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIBDAA

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": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1316613888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 W GREEN ST",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490581700",
            "telephone_number": "269-945-7497",
            "fax_number": "269-945-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 W GREEN ST",
            "city": "HASTINGS",
            "state": "MI",
            "postal_code": "490581700",
            "telephone_number": "269-945-7497",
            "fax_number": "269-945-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OESCH",
        "first_name": "SHELLI",
        "middle_name": "SUZANNE",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704270969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, MI

Sources for this page

Verify at the official NPI Registry.