Individual provider Active NPI

Whitney McElmurry

  • Family Nurse Practitioner
  • Fenton, MI
National Provider Identifier
1457836199
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F08180795 Issued in MI
Practice address
3220 W Silver Lake Rd
Fenton, MI 48430-1374
Phone
(810) 208-7470
NPI assigned
Sep 28, 2018
Last updated
Aug 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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 F08180795 MI Primary

Addresses

Primary practice location

3220 W Silver Lake Rd
Fenton, MI 48430-1374

Mailing address

3220 W Silver Lake Rd
Fenton, MI 48430-1374
Phone (810) 208-7470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190722001845 MI Practitioner - Nurse Practitioner 9537495049 Reassigns benefits to 2 organizations
I20201223002308 IN Practitioner - Nurse Practitioner 9537495049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pic Indiana PCGroup PAC ID 3476790239, 143 clinicians

Practice addresses (Care Compare)

1803 M
Suite 139
Benton Harbor, MI 49022-6103
Phone (269) 487-3021

900 Johnson St
Elkhart, IN 46514-3328
Phone (574) 747-8004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F08180795MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hometown Urgent Care of Michigan, P.C. Current Accepting new patients
Pic Indiana PC CurrentSince Nov 9, 2022 Accepting new patients

Locations

900 Johnson St
Elkhart, IN 46514
Phone (574) 747-8004

924 W Pike St
Goshen, IN 46526
Phone (574) 312-7056

4903 S Emerson Ave
Indianapolis, IN 46203
Phone (317) 352-5582

1010 S Reed Rd
Kokomo, IN 46901
Phone (765) 252-2176

102 Sagamore Pkwy S
Lafayette, IN 47905
Phone (765) 237-3224

505 W Cleveland Rd
Mishawaka, IN 46545
Phone (574) 235-3135

1313 W McGalliard Rd
Muncie, IN 47303
Phone (765) 216-3115

1131 M 32 W
Alpena, MI 49707
Phone (989) 250-1925

1803 M 139
Benton Harbor, MI 49022
Phone (269) 487-3021

3220 W Silver Lake Rd
Fenton, MI 48430
Phone (810) 208-7470

1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835

3550 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-2530

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.

NPI Registry JSON

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1457836199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 W SILVER LAKE RD",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484301374",
            "telephone_number": "810-208-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 W SILVER LAKE RD",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484301374",
            "telephone_number": "810-208-7470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELMURRY",
        "first_name": "WHITNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-28",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "F08180795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MI

Sources for this page

Verify at the official NPI Registry.