Individual provider Active NPI

Robin Ray Shook, ANP-BC

  • Adult Health Nurse Practitioner
  • Cadillac, MI
National Provider Identifier
1699857748
Registry record updated Oct 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
4704184595 Issued in MI
Practice address
520 Cobb St
Cadillac, MI 49601-2588
Phone
(231) 775-6521
Fax
(231) 775-1366
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704184595 MI
Family Nurse Practitioner 363LF0000X 71002233A IN
Adult Health Nurse Practitioner 363LA2200X 4704184595 MI Primary

Addresses

Primary practice location

520 Cobb St
Cadillac, MI 49601-2588

Mailing address

520 Cobb St
Cadillac, MI 49601-2588
Phone (231) 775-6521

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address robin.shook.p1@direct.nextgenshare.com

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040612000339 MI Practitioner - Nurse Practitioner 4789667312 Reassigns benefits to 1 organization
Practice locations: Cadillac, MI

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baldwin Family Health CareGroup PAC ID 1153215413, 35 clinicians

Practice addresses (Care Compare)

520 Cobb St
Cadillac, MI 49601-2588
Phone (231) 775-6521

Hospital & facility affiliations

  • Munson Healthcare Cadillac Hospital Hospital, Cadillac, MI, CCN 230081

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704184595MIMDAdult Health Nurse Practitioner
71002233AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baldwin Family Health Care CurrentSince Nov 16, 2009 Accepting new patients
Baldwin Family Health Care CurrentSince Nov 16, 2009 Accepting new patients
Magnolia Care Afc Home LLC Past Accepting new patients
John Street Clinic PC Past Accepting new patients
Colon Medical Clinic PastSince Apr 30, 2003 Accepting new patients
Baldwin Family Health Care Past Accepting new patients
Retirement Living Management of Cadillac, L.L.C Past Accepting new patients
Baldwin Family Health Care Past Accepting new patients

Locations

1615 Michigan Ave
Baldwin, MI 49304
Phone (231) 745-2781

520 Cobb St
Cadillac, MI 49601
Phone (231) 775-6521

Interoperability endpoints

  • Direct secure messaging: robin.shook.p1@direct.bfhc.nextgenshare.com
  • Direct secure messaging: robin.shook.p1@direct.nextgenshare.com

Organizations & group practices 8

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 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": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1699857748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 COBB ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012588",
            "telephone_number": "231-775-6521",
            "fax_number": "231-775-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 COBB ST",
            "city": "CADILLAC",
            "state": "MI",
            "postal_code": "496012588",
            "telephone_number": "231-775-6521",
            "fax_number": "231-775-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOOK",
        "first_name": "ROBIN",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704184595",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71002233A",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MI",
            "license": "4704184595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robin.shook.p1@direct.nextgenshare.com",
            "affiliation": "N",
            "address_1": "520 Cobb St",
            "city": "Cadillac",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496012588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cadillac, MI

Sources for this page

Verify at the official NPI Registry.