Individual provider Active NPI

Shaina Diane Martin, FNP

  • Family Nurse Practitioner
  • Sandusky, MI
National Provider Identifier
1861265076
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704347396 Issued in MI
Practice address
120 N Delaware St
Sandusky, MI 48471-1087
Phone
(810) 648-3770
NPI assigned
Oct 31, 2023
Sex
Female
Sole proprietor
No

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McKenzie Memorial Hospital 31 clinicians

Practice addresses (Care Compare)

120 N Delaware St
Sandusky, MI 48471-1009
Phone (810) 648-6162

Hospital & facility affiliations

  • McKenzie Health System Hospital, Sandusky, MI, CCN 231314

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
I20231208003179 MI Practitioner - Nurse Practitioner 3375992886 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
McKenzie Memorial Hospital Current Accepting new patients
McKenzie Memorial Hospital CurrentSince Dec 1, 2023 Accepting new patients
McKenzie Memorial Hospital CurrentSince Dec 1, 2023 Accepting new patients
Sciometrix LLC CurrentSince Nov 7, 2024 Accepting new patients
Sciometrix Inc CurrentSince Nov 7, 2024 Accepting new patients
McKenzie Memorial Hospital Past Accepting new patients
McKenzie Memorial Hospital Nurse Practitioner Past Accepting new patients
McKenzie Memorial Hospital Past Accepting new patients

Locations

8 N Howard Ave
Croswell, MI 48422
Phone (810) 679-0012

251 E Peck Rd
Peck, MI 48466
Phone (810) 378-4900

306 S Washington Ave
Ste 600
Royal Oak, MI 48067

109 N Delaware St
Sandusky, MI 48471
Phone (810) 648-4219

120 N Delaware St
#1
Sandusky, MI 48471

75 Dawson St
Sandusky, MI 48471
Phone (810) 648-2232

170 W Argyle St
Sandusky, MI 48471
Phone (810) 648-0210

120 N Delaware St
Sandusky, MI 48471
Phone (810) 648-3770

Interoperability endpoints

  • Direct secure messaging: shaina.martin@mhs.eclinicaldirectplus.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704347396 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

120 N Delaware St
Sandusky, MI 48471-1087

Mailing address

142 Mills St
Croswell, MI 48422-1152
Phone (810) 712-1392

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 31, 2023.

{
    "created_epoch": "1698710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1861265076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 MILLS ST",
            "city": "CROSWELL",
            "state": "MI",
            "postal_code": "484221152",
            "telephone_number": "810-712-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N DELAWARE ST",
            "city": "SANDUSKY",
            "state": "MI",
            "postal_code": "484711087",
            "telephone_number": "810-648-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SHAINA",
        "middle_name": "DIANE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704347396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandusky, MI

Sources for this page

Verify at the official NPI Registry.