Individual provider Active NPI

Cheryl Ann Elfring, DO

  • Family Medicine Physician
  • Haslett, MI
National Provider Identifier
1679574107
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
CE012450 Issued in MI
Practice address
1650 Haslett Rd
Haslett, MI 48840-7615
Phone
(517) 374-7600
Fax
(517) 374-9042
NPI assigned
Aug 9, 2005
Last updated
Sep 25, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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 CE012450 MI Primary

Addresses

Primary practice location

1650 Haslett Rd
Haslett, MI 48840-7615

Mailing address

1650 Haslett Rd
Haslett, MI 48840-7615
Phone (517) 374-7600

Other identifiers 2

IdentifierTypeStateIssuer
8533115640OtherMIBCBS
114523092MedicaidMI

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
I20050830000327 MI Practitioner - Family Practice 1951332949 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lansing Urgent Care PLCGroup PAC ID 7214947902, 42 clinicians

Practice addresses (Care Compare)

505 N Clippert St
Lansing, MI 48912-4701
Phone (517) 333-9200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CE012450MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lansing Urgent Care PLC CurrentSince Apr 25, 2016 Accepting new patients
Memorial Hospital Past Accepting new patients
Lansing Urgent Care, PLC PastSince Apr 25, 2016 Accepting new patients

Locations

505 N Clippert St
Lansing, MI 48912
Phone (517) 285-0905

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1679574107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 HASLETT RD",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488407615",
            "telephone_number": "517-374-7600",
            "fax_number": "517-374-9042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 HASLETT RD",
            "city": "HASLETT",
            "state": "MI",
            "postal_code": "488407615",
            "telephone_number": "517-374-7600",
            "fax_number": "517-374-9042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELFRING",
        "first_name": "CHERYL",
        "middle_name": "ANN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-09",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "CE012450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8533115640",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114523092",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haslett, MI

Sources for this page

Verify at the official NPI Registry.