Individual provider Active NPI

Shanon M. Tuter-Spitzley, D.O.

  • Obstetrics & Gynecology Physician
  • Muskegon, MI
National Provider Identifier
1891008074
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
5101019523 Issued in MI
Practice address
1500 E Sherman Blvd
Floor 4
Muskegon, MI 49444-1884
Phone
(231) 672-6600
Fax
(231) 672-4695
NPI assigned
Jul 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 5101019523 MI Primary

Addresses

Primary practice location

1500 E Sherman Blvd
Floor 4
Muskegon, MI 49444-1884

Mailing address

PO Box 776982
Chicago, IL 60677-6982
Phone (800) 494-5797

Other identifiers 1

IdentifierTypeStateIssuer
1891008074MedicaidMI

Other names 1

  • Dr. Shanon M Tutter Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240105001768 MI Practitioner - Obstetrics/Gynecology 2769799501 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Partners - Physician SpecialistGroup PAC ID 2163572991, 66 clinicians

Practice addresses (Care Compare)

1500 E Sherman Blvd
FL 4
Muskegon, MI 49444-1849
Phone (231) 672-6815

Hospital & facility affiliations

  • Trinity Health Muskegon Hospital Hospital, Muskegon, MI, CCN 230066

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101019523MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Partners - Physician Specialist CurrentSince Feb 1, 2024 Accepting new patients
Mercy Women'S Health Services Obstetrics & Gynecology CurrentSince Feb 1, 2024 Accepting new patients
Mercy Health Partners Past Accepting new patients

Locations

1500 E Sherman Blvd
Fl 4
Muskegon, MI 49444
Phone (231) 672-6600

1500 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-3027

1675 Leahy St
Ste 201A
Muskegon, MI 49442
Phone (231) 672-6600

Interoperability endpoints

  • Direct secure messaging: stuterspitzley3106215@direct.trinity-health.org
  • Direct secure messaging: stuter117205@directb.mercy.net

Organizations & group practices 3

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 1

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": "1279238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1891008074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776982",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776982",
            "telephone_number": "800-494-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E SHERMAN BLVD",
            "address_2": "FLOOR 4",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494441884",
            "telephone_number": "231-672-6600",
            "fax_number": "231-672-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTER-SPITZLEY",
        "first_name": "SHANON",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-16",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "5101019523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891008074",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANON",
            "last_name": "TUTTER",
            "middle_name": "M",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.