Shenna Meredith, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704253689 Issued in MI

Practice address

1221 Sixth St Ste 202
Traverse City, MI 49684-2359

Phone

(231) 935-5730

Fax

(231) 935-5736

NPI assigned

Jan 26, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Munson Medical CenterGroup PAC ID 3072426287, 377 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Munson Medical Center Hospital, Traverse City, MI, CCN 230097

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: smeredith@direct.mhc.net

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.

• Munson Medical Center

  • Endocrinology, Diabetes & Metabolism Physician
  • Traverse City, MI
  • NPI 1083761860

  MI

  Medicare reassignment Care Compare group NPD
• Munson Medical Center

  • Family Medicine Physician
  • Traverse City, MI
  • NPI 1881623031
  Care Compare group NPD (past)
• Munson Medical Center

  • Rehabilitation Hospital Unit
  • Traverse City, MI
  • NPI 1104080621
  Care Compare group
• Munson Medical Center

  • Home Infusion Therapy Pharmacy
  • Traverse City, MI
  • NPI 1134205032
  Care Compare group
• Munson Medical Center

  • Specialty Pharmacy
  • Traverse City, MI
  • NPI 1194425447
  Care Compare group
• Munson Medical Center

  • Audiologist
  • Traverse City, MI
  • NPI 1306097167
  Care Compare group
• Munson Medical Center

  • Sleep Medicine (Internal Medicine) Physician
  • Traverse City, MI
  • NPI 1336175165
  Care Compare group
• Munson Medical Center

  • Radiation Oncology Physician
  • Traverse City, MI
  • NPI 1376097733
  Care Compare group
• Munson Medical Center

  • Social Worker
  • Traverse City, MI
  • NPI 1386672665
  Care Compare group
• Munson Medical Center

  • Nurse Practitioner
  • Traverse City, MI
  • NPI 1477581759
  Care Compare group
• Munson Medical Center

  • Anesthesiology Physician
  • Traverse City, MI
  • NPI 1710735287
  Care Compare group
• Munson Medical Center

  • General Acute Care Hospital
  • Traverse City, MI
  • NPI 1952307852
  Care Compare group

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

• Munson Medical Center

  • General Acute Care Hospital
  • Traverse City, MI
  • NPI 1952307852

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1437516135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 SIXTH ST STE 202",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842359",
            "telephone_number": "231-935-5730",
            "fax_number": "231-935-5736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 SIXTH ST STE 202",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842359",
            "telephone_number": "231-935-5730",
            "fax_number": "231-935-5736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEREDITH",
        "first_name": "SHENNA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-26",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704253689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Meister Meister
• Shawne Louise Mellios, CASE MANAGER
• Memory and Movement Disorders Clinic, PLLC
• Michelle Mendelsohn, MASTERS
• Damian Mendoza, DC
• Rosanne Marie Merica-Wanamaker
• Sierra Merrifield
• Rachel Marie Merrill, PT, DPT
• Angela Lynn Merriman, LPC
• Jason M Merrithew, D.D.S.

• All providers in Traverse City, MI
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.