Individual provider Active NPI

Shilpaben K Patel

  • Family Nurse Practitioner
  • Grand Blanc, MI
National Provider Identifier
1417508417
Registry record updated Jul 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704307988 Issued in MI
Practice address
6062 Quartz LN
Grand Blanc, MI 48439-7822
Phone
(201) 682-1408
NPI assigned
Sep 23, 2019
Last updated
Jul 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2021

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 4704307988 MI Primary

Addresses

Primary practice location

6062 Quartz LN
Grand Blanc, MI 48439-7822

Mailing address

6062 Quartz LN
Grand Blanc, MI 48439-7822
Phone (201) 682-1408

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
I20200121001568 MI Practitioner - Nurse Practitioner 4789019738 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Park Medical Practice PCGroup PAC ID 1254698699, 2 clinicians

Practice addresses (Care Compare)

600 Health Park Blvd
Suite H
Grand Blanc, MI 48439-2558
Phone (810) 606-7125

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Inpatient Physicians-Michigan, PLLC CurrentSince Mar 15, 2025 Accepting new patients
Sound Inpatient Physicians - Michigan, PLLC CurrentSince Mar 15, 2025 Accepting new patients
Health Park Medical Practice PC CurrentSince Jan 1, 2020 Accepting new patients

Locations

1 Genesys Pkwy
Grand Blanc, MI 48439
Phone (810) 606-5733

600 Health Park Blvd
Ste H
Grand Blanc, MI 48439
Phone (810) 424-2259

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

Interoperability endpoints

  • Direct secure messaging: spatel1144051@direct.hfhs.org

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627171200000",
    "number": "1417508417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6062 QUARTZ LN",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397822",
            "telephone_number": "201-682-1408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6062 QUARTZ LN",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484397822",
            "telephone_number": "201-682-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "SHILPABEN",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2021-07-25",
        "certification_date": "2021-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704307988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.