Individual provider Active NPI

Shelby Danielle Crawford, MD

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Alpena, MI
National Provider Identifier
1811457195
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
License
4301513050 Issued in MI
Practice address
393 Long Rapids Rd
Alpena, MI 49707-1317
Phone
(989) 356-5251
NPI assigned
Mar 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X 4301513050 MI Primary
Physical Medicine & Rehabilitation Physician 208100000X 89702 SC

Addresses

Primary practice location

393 Long Rapids Rd
Alpena, MI 49707-1317

Mailing address

4000 Wellness Dr
Midland, MI 48670-2000

Other practice location 1

4440 W 95th St
Oak Lawn, IL 60453-2600
Phone (858) 774-6393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230629002806 SC Practitioner - Physical Medicine and Rehabilitation 3274954607 Reassigns benefits to 2 organizations
I20241022001819 MI Practitioner - Sports Medicine 3274954607 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mymichigan Medical Center AlpenaGroup PAC ID 8527969922, 97 clinicians

Practice addresses (Care Compare)

393 Long Rapids Rd
Alpena, MI 49707-1317
Phone (989) 354-4406

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.92
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
89702SCMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Alpena Current Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Nov 25, 2024 Accepting new patients
Self Medical Group Current Accepting new patients
Mymichigan Medical Group CurrentSince Aug 22, 2025 Accepting new patients
Arizona Health Services PLLC CurrentSince Jun 27, 2024 Accepting new patients
Self Regional Healthcare CurrentSince Jul 1, 2023 Accepting new patients
Self Medical Group CurrentSince Jul 1, 2023 Accepting new patients
Self Regional Healthcare CurrentSince Jul 1, 2023 Accepting new patients
Self Medical Group CurrentSince Jul 1, 2023 Accepting new patients
Mymichigan Medical Center Alpena CurrentSince Aug 22, 2025 Accepting new patients
Mymichigan Medical Center Alpena Past Accepting new patients
Mymichigan Medical Group Past Accepting new patients
Self Medical Group PastSince May 7, 2024 Accepting new patients

Locations

4040 E Camelback Rd
Ste 155A
Phoenix, AZ 85018
Phone (602) 806-7575

75 Remittance Dr
Dept 6793
Chicago, IL 60675

75 Remittance Dr
Dept 6764
Chicago, IL 60675

393 Long Rapids Rd
Alpena, MI 49707
Phone (989) 354-4406

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

11899 M 32
Atlanta, MI 49709
Phone (989) 785-4855

602 Beech St
Ste 3100
Clare, MI 48617
Phone (989) 802-5020

815 N Clare Ave
Harrison, MI 48625
Phone (989) 539-4096

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

208 S State St
Ste A
Oscoda, MI 48750
Phone (989) 356-8089

208 S State St
Oscoda, MI 48750
Phone (989) 739-0200

1325 Spring St
Greenwood, SC 29646
Phone (864) 227-4111

155 Academy Ave
Greenwood, SC 29646
Phone (864) 725-4865

2605 Kinard St
Ste 200
Newberry, SC 29108
Phone (803) 276-1866

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

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": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1811457195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 WELLNESS DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486702000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "393 LONG RAPIDS RD",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497071317",
            "telephone_number": "989-356-5251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4440 W 95th St",
            "address_purpose": "LOCATION",
            "city": "Oak Lawn",
            "state": "IL",
            "postal_code": "604532600",
            "country_code": "US",
            "telephone_number": "858-774-6393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "SHELBY",
        "middle_name": "DANIELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "MI",
            "license": "4301513050",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SC",
            "license": "89702",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpena, MI

Sources for this page

Verify at the official NPI Registry.