Individual provider Active NPI

Nisha Vashishta, MD

  • Family Medicine Physician
  • Mt Pleasant, MI
National Provider Identifier
1528008448
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301075001 Issued in MI
Practice address
4639 E Pickard St
Suite B
Mt Pleasant, MI 48858-2077
Phone
(989) 817-4300
Fax
(989) 817-4301
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301075001 MI Primary

Addresses

Primary practice location

4639 E Pickard St
Suite B
Mt Pleasant, MI 48858-2077

Mailing address

4639 E Pickard St
Suite B
Mt Pleasant, MI 48858-2077
Phone (989) 817-4300

Other identifiers 1

IdentifierTypeStateIssuer
4426947MedicaidMI

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051027000894 MI Practitioner - Family Practice 8022035187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mount Pleasant Medical Associates PLLCGroup PAC ID 8729305958, 3 clinicians

Practice addresses (Care Compare)

4639 E Pickard St
Suite B
Mount Pleasant, MI 48858-2190
Phone (989) 817-4300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Pleasant Medical Associates, PLLC Family Medicine CurrentSince Jan 27, 2015 Accepting new patients

Locations

4639 E Pickard St
Ste B
Mt Pleasant, MI 48858
Phone (989) 545-5232

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

Interoperability endpoints

  • Direct secure messaging: nisha.vashishta@glacecentral.com

Organizations & group practices 1

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.

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422576000000",
    "number": "1528008448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4639 E PICKARD ST",
            "address_2": "SUITE B",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582077",
            "telephone_number": "989-817-4300",
            "fax_number": "989-817-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4639 E PICKARD ST",
            "address_2": "SUITE B",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488582077",
            "telephone_number": "989-817-4300",
            "fax_number": "989-817-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASHISHTA",
        "first_name": "NISHA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2015-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301075001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4426947",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

Verify at the official NPI Registry.