Active NPI
Elizabeth Meacham, NP
- Nurse Practitioner
- Muskegon, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 4704178823
- Practice address
- 1675 Leahy St
Suite 428B
Muskegon, MI 49442-5500 - Phone
- (231) 672-3300
- Fax
- (231) 672-3380
- NPI assigned
- Jul 27, 2006
- Last updated
- Aug 10, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4704178823 | MI | Primary |
| Family Medicine Physician | 207Q00000X | 4704178823 | MI |
Addresses
Primary practice location
1675 Leahy St
Suite 428B
Muskegon, MI 49442-5500
Mailing address
PO Box 1847
Muskegon, MI 49443-1847
Phone (231) 727-4444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4612399 | Medicaid | MI |
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
Enrollment records 1
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
Practice addresses (Care Compare)
1675 Leahy St
Suite 201a
Muskegon, MI 49442-5542
Phone (231) 672-6600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704178823 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Partners-Obstetrics and Gynecology Specialist | Nurse Practitioner | Current | Accepting new patients |
| Mercy Women's Health Services | Nurse Practitioner | Current | Accepting new patients |
| Appleview Women's Health Care, P.C. | Past | Accepting new patients | |
| Patricia Roy D.O. PC | Family Medicine | Past | Accepting new patients |
Locations
1675 Leahy St
Ste 201A
Muskegon, MI 49442
Phone (231) 672-6600
1675 Leahy St
Ste 428B
Muskegon, MI 49442
Phone (231) 672-3300
1775 Wells Ave
Muskegon, MI 49442
Phone (231) 726-2677
1778 Sanford St
Muskegon, MI 49441
Phone (231) 672-2160
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Trinity Health Medical Group Obstetrics and Gynecology Hackley
- Obstetrics & Gynecology Physician
- Muskegon, MI
- NPI 1467476143
Nurse Practitioner
-
dba Trinity Health Medical Group Obstetrics & Gynecology - Hackley
- Obstetrics & Gynecology Physician
- Muskegon, MI
- NPI 1215255799
Nurse Practitioner
-
- Obstetrics & Gynecology Physician
- Muskegon, MI
- NPI 1134129299
-
- Family Medicine Physician
- Muskegon, MI
- NPI 1851307490
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Health Muskegon
- General Acute Care Hospital
- Muskegon, MI
- NPI 1831132133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344556800000",
"number": "1912911108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1847",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494431847",
"telephone_number": "231-727-4444",
"fax_number": "231-727-4451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1675 LEAHY ST",
"address_2": "SUITE 428B",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494425500",
"telephone_number": "231-672-3300",
"fax_number": "231-672-3380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEACHAM",
"first_name": "ELIZABETH",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2012-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MI",
"license": "4704178823",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4704178823",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4612399",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Muskegon, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.