Individual provider Active NPI

Laurie L Shively, CRNA

  • Certified Registered Nurse Anesthetist
  • Midland, MI
National Provider Identifier
1477707347
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
4704212968 Issued in MI
Practice address
4000 Wellness Dr
Midland, MI 48670-2000
Phone
(989) 839-3000
NPI assigned
Nov 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 4704212968 MI Primary

Addresses

Primary practice location

4000 Wellness Dr
Midland, MI 48670-2000

Mailing address

4000 Wellness Dr
Midland, MI 48670-2000
Phone (844) 832-1956

Other practice location 1

1215 E Michigan Ave
Lansing, MI 48912-1811
Phone (517) 364-2789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090108000666 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 4082777644 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asa Staffing IncGroup PAC ID 3971898644, 146 clinicians
McLaren Hospital GroupGroup PAC ID 2365968351, 366 clinicians
Mymichigan Medical Center MidlandGroup PAC ID 2264323633, 507 clinicians

Practice addresses (Care Compare)

1221 Pine Grove Ave
Port Huron, MI 48060-3511
Phone (810) 987-5000

1221 S Dr
Mt Pleasant, MI 48858-3257
Phone (989) 772-6700

4000 Wellness Dr
Midland, MI 48670-2000
Phone (989) 839-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Michigan Anesthesiology Group, PC CurrentSince Mar 11, 2019 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Oct 27, 2015 Accepting new patients
McLaren Central Michigan Current Accepting new patients
McLaren Hospital Group CurrentSince Nov 12, 2025 Accepting new patients
Mymichigan Medical Center Clare CurrentSince Sep 1, 2019 Accepting new patients
McLaren Central Michigan CurrentSince Dec 23, 2021 Accepting new patients
Mymichigan Medical Center Gladwin Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2020 Accepting new patients
Mymichigan Medical Center West Branch Nurse Anesthetist, Certified Registered CurrentSince Jan 6, 2020 Accepting new patients
Mymichigan Medical Center Midland Nurse Anesthetist, Certified Registered CurrentSince Oct 27, 2015 Accepting new patients
Mymichigan Medical Center Saginaw CurrentSince Oct 16, 2012 Accepting new patients
Mymichigan Medical Center Gladwin Current Accepting new patients
Resource Anesthesiology Associates of Mi PC CurrentSince Nov 1, 2019 Accepting new patients
Mymichigan Medical Center Gladwin CurrentSince Jan 1, 2020 Accepting new patients
Mymichigan Medical Center West Branch Current Accepting new patients
Grayling Anesthesia Associates PC Nurse Anesthetist, Certified Registered CurrentSince Mar 27, 2019 Accepting new patients
Mymichigan Medical Center Clare Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2019 Accepting new patients
McLaren Central Michigan Current Accepting new patients
Mymichigan Medical Center Saginaw Nurse Anesthetist, Certified Registered CurrentSince Oct 16, 2012 Accepting new patients
Mymichigan Medical Center West Branch CurrentSince Jan 6, 2020 Accepting new patients
Asa Staffing Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 15, 2025 Accepting new patients
McLaren Central Michigan Nurse Anesthetist, Certified Registered CurrentSince Dec 23, 2021 Accepting new patients
Midland Pathology Associates, PC Current Accepting new patients

Locations

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

703 N McEwan St
Clare, MI 48617
Phone (989) 802-5000

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

6245 Inkster Rd
Garden City, MI 48135
Phone (734) 421-3300

515 Quarter St
Gladwin, MI 48624
Phone (989) 246-6201

1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317

3400 E Jolly Rd
Lansing, MI 48910
Phone (517) 272-1063

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

826 W King St
Owosso, MI 48867
Phone (989) 720-2273

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

800 S Washington Ave
Saginaw, MI 48601
Phone (989) 776-8000

200 Hemlock St
Tawas City, MI 48763
Phone (989) 362-0153

2463 S M 30
West Branch, MI 48661
Phone (517) 345-3660

L4355
Columbus, OH 43260

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 5

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": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1477707347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486702000",
            "telephone_number": "844-832-1956",
            "fax_number": "989-633-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486702000",
            "telephone_number": "989-839-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 E Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Lansing",
            "state": "MI",
            "postal_code": "489121811",
            "country_code": "US",
            "telephone_number": "517-364-2789",
            "fax_number": "517-364-3943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIVELY",
        "first_name": "LAURIE",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-05",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MI",
            "license": "4704212968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.