Active NPI
Shelly Jane Thompson, CRNA
- Certified Registered Nurse Anesthetist
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704223822
- Practice address
- 3333 Evergreen Dr NE
Grand Rapids, MI 49525-9756 - Phone
- (616) 364-4200
- Fax
- (616) 364-7347
- NPI assigned
- Aug 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704223822 | MI | Primary |
Addresses
Primary practice location
3333 Evergreen Dr NE
Grand Rapids, MI 49525-9756
Mailing address
3333 Evergreen Dr NE
Grand Rapids, MI 49525-9493
Phone (616) 364-4200
Other practice location 1
1500 E Sherman Blvd
Muskegon, MI 49444-1849
Phone (231) 672-2000 ext. 32400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4688421 | Medicaid | MI |
Other names 1
- Shelly J Peplinski
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050215000534 | MI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 4385629484 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Saint Mary'S Health ServicesAnesthesia Medical Consultants, PC
Practice addresses (Care Compare)
200 Jefferson Ave SE
Grand Rapids, MI 49503-4502
Phone (734) 263-2400
4055 Cascade Rd SE
Metro Health Park East Outpatient Surgical
Grand Rapids, MI 49546-2149
Phone (616) 364-4200
5900 Byron Ctr Ave SW
Metro Health Hospital
Wyoming, MI 49519-9606
Phone (616) 364-4200
Hospital & facility affiliations
- Trinity Health Muskegon Hospital
- University of Michigan Health - West
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Mary'S Health Services | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Medical Consultants, PC | Current | Accepting new patients | |
| Saint Mary'S Health Services | Current | Accepting new patients |
Locations
3333 Evergreen Dr NE
Grand Rapids, MI 49525
Phone (616) 284-3132
200 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 685-5000
4055 Cascade Rd SE
Grand Rapids, MI 49546
Phone (616) 252-4410
1500 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-3027
5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243
Ownership & related parties
All facility ownership & control disclosures 7
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Grand Oaks Nursing Center | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (10%) | Jan 1, 2012 |
| North Woods Nursing Center | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (10%) Adp of the SNF |
Jan 1, 2012 Jan 1, 2012 |
| Maple Woods Manor | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (6.67%) | Jan 1, 2012 |
| West Woods of Niles | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (10%) Adp of the SNF |
Jan 1, 2012 Jan 1, 2012 |
| Huron Woods Nursing Center | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (10%) Adp of the SNF |
Jan 1, 2012 Jan 1, 2012 |
| West Hickory Haven | Skilled nursing facility | 5% Or Greater Indirect Ownership Interest (10%) Adp of the SNF |
Jan 1, 2012 Jan 1, 2012 |
| West Woods of Bridgman | Skilled nursing facility | Adp of the SNF | Jan 1, 2012 |
Owned or controlled facilities with NPI records 7
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Niles, MI
- NPI 1538167267
5% Or Greater Indirect Ownership Interest, Adp of the SNF
-
- Skilled Nursing Facility
- Milford, MI
- NPI 1184610438
5% Or Greater Indirect Ownership Interest, Adp of the SNF
-
- Skilled Nursing Facility
- Farwell, MI
- NPI 1780682096
5% Or Greater Indirect Ownership Interest, Adp of the SNF
-
- Skilled Nursing Facility
- Baldwin, MI
- NPI 1073509261
5% Or Greater Indirect Ownership Interest
-
- Skilled Nursing Facility
- Kawkawlin, MI
- NPI 1417942103
5% Or Greater Indirect Ownership Interest, Adp of the SNF
-
- Nursing Facility/Intermediate Care Facility
- Clio, MI
- NPI 1922004548
5% Or Greater Indirect Ownership Interest
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Grand Rapids, MI
- NPI 1124063078
MI, Nurse Anesthetist, Certified Registered
-
- General Acute Care Hospital
- Grand Rapids, MI
- NPI 1639111057
-
- Geriatric Medicine (Internal Medicine) Physician
- Grand Rapids, MI
- NPI 1063917425
-
- Psychiatric Hospital Unit
- Grand Rapids, MI
- NPI 1467480566
Hospital & facility affiliations 2
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": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765929600000",
"number": "1679689707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 EVERGREEN DR NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495259493",
"telephone_number": "616-364-4200",
"fax_number": "616-364-7347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 EVERGREEN DR NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495259756",
"telephone_number": "616-364-4200",
"fax_number": "616-364-7347"
}
],
"practiceLocations": [
{
"address_1": "1500 E Sherman Blvd",
"address_purpose": "LOCATION",
"city": "Muskegon",
"state": "MI",
"postal_code": "494441849",
"country_code": "US",
"telephone_number": "231-672-2000 x32400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THOMPSON",
"first_name": "SHELLY",
"middle_name": "JANE",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2025-12-17",
"certification_date": "2025-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704223822",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4688421",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHELLY",
"last_name": "PEPLINSKI",
"middle_name": "J",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.