Individual provider Active NPI

Shari Froelich, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Alpena, MI
National Provider Identifier
1477746196
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
4704134077 Issued in MI
Practice address
1185 US Highway 23 N
Alpena, MI 49707-8004
Phone
(989) 736-8157
Fax
(989) 358-3763
NPI assigned
Aug 27, 2007
Last updated
Jan 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 4704134077 MI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4704134077 MI Primary

Addresses

Primary practice location

1185 US Highway 23 N
Alpena, MI 49707-8004

Mailing address

1185 US Highway 23 N
Alpena, MI 49707-8004
Phone (989) 736-8157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WY2 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
I20071102000713 MI Practitioner - Nurse Practitioner 3971690298 Reassigns benefits to 1 organization
I20190524001096 WY Practitioner - Nurse Practitioner 3971690298 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fremont County Behavioral Health CurrentSince Apr 1, 2019 Accepting new patients
Psychnorth CurrentSince Oct 28, 2017 Accepting new patients
Fremont Counseling Service CurrentSince Apr 1, 2019 Accepting new patients
John M Cilluffo MD PLC PastSince Mar 5, 2010 Accepting new patients

Locations

2202 Mitchell Park Dr
Ste 5
Petoskey, MI 49770
Phone (231) 348-5018

748 Main St
Lander, WY 82520
Phone (307) 332-2231

Organizations & group practices 4

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": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1477746196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 US HIGHWAY 23 N",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497078004",
            "telephone_number": "989-736-8157",
            "fax_number": "989-358-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 US HIGHWAY 23 N",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497078004",
            "telephone_number": "989-736-8157",
            "fax_number": "989-358-3763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROELICH",
        "first_name": "SHARI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-27",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704134077",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "4704134077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpena, MI

Sources for this page

Verify at the official NPI Registry.