NPIMap

Individual provider Active NPI

Shannon Kathleen O'Keefe, PA

  • Physician Assistant
  • Greenville, MI
National Provider Identifier
1467499624
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601004494 Issued in MI
Practice address
707 S Greenville West Dr
Greenville, MI 48838-3514
Phone
(616) 754-3001
NPI assigned
May 31, 2006
Last updated
Feb 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601004494 MI Primary

Addresses

Primary practice location

707 S Greenville West Dr
Greenville, MI 48838-3514

Mailing address

100 Michigan St NE
Mc845
Grand Rapids, MI 49503-2560

Other names 1

  • Shannon Kathleen Reed Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/
Direct Messaging Address sokeefepa8640@epic00.shdirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060412000513 MI Practitioner - Physician Assistant 8325057706 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spectrum Health UnitedGroup PAC ID 6305836487, 90 clinicians

Practice addresses (Care Compare)

707 S Greenville W Dr
Im/Peds
Greenville, MI 48838-3514
Phone (616) 225-6477

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601004494MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Health United CurrentSince Dec 12, 2016 Accepting new patients
Spectrum Health United CurrentSince Dec 12, 2016 Accepting new patients
Michigan Medical Patient Care Past Accepting new patients
Montcalm Primary Care Partners Past Accepting new patients
Michigan Medical Patient Care Past Accepting new patients

Locations

1227 W State St
Belding, MI 48809
Phone (616) 794-0800

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

1202 W Oak St
Greenville, MI 48838
Phone (616) 754-2944

707 S Greenville West Dr
Greenville, MI 48838
Phone (616) 284-8856

Interoperability endpoints

  • Direct secure messaging: sokeefe8640@epic00.corewelldirect.org
  • Direct secure messaging: sokeefepa8640@epic00.shdirect.org

Organizations & group practices 6

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 3

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1467499624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE",
            "address_2": "MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 S GREENVILLE WEST DR",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488383514",
            "telephone_number": "616-754-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'KEEFE",
        "first_name": "SHANNON",
        "middle_name": "KATHLEEN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "707 S Greenville West Dr",
            "city": "Greenville",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488383514",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sokeefepa8640@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "707 S Greenville West Dr",
            "city": "Greenville",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488383514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "REED",
            "middle_name": "KATHLEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenville, MI

Sources for this page

Verify at the official NPI Registry.