Active NPI
Mercy Health Partners
- Rural Health Clinic/Center
- Shelby, MI
National Provider Identifier
1700201712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Health Clinic/Center
- Legal business name
- MERCY HEALTH PARTNERS
- Practice address
- 71 Bevier St
Shelby, MI 49455-1209 - Phone
- (231) 861-2187
- Fax
- (231) 861-5100
- NPI assigned
- Feb 27, 2014
- Organization subpart
- Yes
- Parent organization
- MERCY HEALTH PARTNERS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daniel Green
- Title
- Vice President Finance
- Phone
- (616) 685-6709
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Surgery Physician | 208600000X | |||
| Rural Health Clinic/Center | 261QR1300X | Primary |
Addresses
Primary practice location
71 Bevier St
Shelby, MI 49455-1209
Mailing address
PO Box 932988
Cleveland, OH 44193-0029
Phone (800) 494-5797
Other names 1
- Trinity Health Medical Group
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Cobius Healthcare Solutions |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140415001839 | MI | Part B Supplier - Clinic/Group Practice | 1456430016 |
Receives reassigned benefits from 120 practitioners 11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Hart, MI; Ludington, MI; Muskegon, MI; Shelby, MI; Sparta, MI; Whitehall, MI |
Other NPIs on the same Medicare enrollment 11
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Certified Registered Nurse Anesthetist
- Shelby, MI
- NPI 1154910172
O20140415001839
National Provider Directory
National Provider Directory- Part of
- Mercy Health Partners
Practitioners & affiliated clinicians
Practitioners 8
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Physician Assistant
- Muskegon, MI
- NPI 1194354787
-
- Obstetrics Physician
- Muskegon, MI
- NPI 1922219666
-
- Family Medicine Physician
- Ludington, MI
- NPI 1851435283
Family Medicine
-
- Family Medicine Physician
- Whitehall, MI
- NPI 1194716878
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777852800000",
"number": "1700201712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 932988",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441930029",
"telephone_number": "800-494-5797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 BEVIER ST",
"city": "SHELBY",
"state": "MI",
"postal_code": "494551209",
"telephone_number": "231-861-2187",
"fax_number": "231-861-5100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY HEALTH PARTNERS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MERCY HEALTH PARTNERS",
"enumeration_date": "2014-02-27",
"last_updated": "2026-05-04",
"certification_date": "2026-05-04",
"status": "A",
"authorized_official_last_name": "GREEN",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "VICE PRESIDENT FINANCE",
"authorized_official_telephone_number": "616-685-6709"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.1068.1",
"affiliationName": "Cobius Healthcare Solutions",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD Emdr",
"address_1": "2720 Dundee Rd # 302",
"city": "Northbrook",
"state": "IL",
"country_code": "US",
"postal_code": "600622609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Trinity Health Medical Group",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Shelby, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.