Individual provider Active NPI

Shannon Elizabeth Fritz, D.O.

  • Family Medicine Physician
  • Rockford, MI
National Provider Identifier
1952641060
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101020371 Issued in MI
Practice address
8501 Meadow CRK
Rockford, MI 49341-7524
Phone
(616) 267-7884
NPI assigned
Feb 26, 2013
Last updated
Mar 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101020371 MI Primary

Addresses

Primary practice location

8501 Meadow CRK
Rockford, MI 49341-7524

Mailing address

100 Michigan Street NE MC 845
Grand Rapids, MI 49503

Other names 1

  • Shannon Elizabeth Murphy Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/
Direct Messaging Address sfritz121769@epic00.shdirect.org

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
I20151111001769 MI Practitioner - Family Practice 7618109927 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2900 Bradford St NE
Corewell Health Medical Group West
Grand Rapids, MI 49525-6427
Phone (616) 885-5000

2902 Bradford St NE
Corewell Health Medical Group West
Grand Rapids, MI 49525-6427
Phone (616) 486-6577

4444 Kalamazoo Ave SE
200 Corewell Health Medical Group West
Kentwood, MI 49508-4600
Phone (616) 391-5600

8501 Meadow CRK
Rockford, MI 49341-7524
Phone (616) 267-8950

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101020371MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Health Primary Care Partners CurrentSince Jul 31, 2016 Accepting new patients
Elizabeth Lake Urgent Care PLLC CurrentSince Oct 7, 2015 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Jul 31, 2016 Accepting new patients
Washington Urgent Care, PLLC CurrentSince Oct 5, 2015 Accepting new patients
First Choice Urgent Care PC PastSince Oct 7, 2015 Accepting new patients

Locations

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

4444 Kalamazoo Ave SE
Ste 200
Kentwood, MI 49508
Phone (616) 391-5600

2632 S Rochester Rd
Unit 70747
Rochester Hills, MI 48307

2708 S Rochester Rd
Ste A
Rochester Hills, MI 48307
Phone (248) 309-3344

8501 Meadow Crk
Rockford, MI 49341
Phone (616) 267-7884

8501 Meadow Crk
Fl 2
Rockford, MI 49341

7701 26 Mile Rd
Washington, MI 48094
Phone (586) 935-4000

57850 Van Dyke Rd
Ste 100
Washington Twp, MI 48094
Phone (586) 203-2020

2446 Elizabeth Lake Rd
Waterford, MI 48328
Phone (248) 309-3344

Interoperability endpoints

  • Direct secure messaging: sfritz121769@epic00.corewelldirect.org
  • Direct secure messaging: sfritz121769@epic00.shdirect.org

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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": "1361836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1952641060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN STREET NE MC 845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8501 MEADOW CRK",
            "city": "ROCKFORD",
            "state": "MI",
            "postal_code": "493417524",
            "telephone_number": "616-267-7884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITZ",
        "first_name": "SHANNON",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-26",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101020371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "8501 Meadow Crk",
            "city": "Rockford",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493417524",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sfritz121769@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "8501 Meadow Crk",
            "city": "Rockford",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493417524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "MURPHY",
            "middle_name": "ELIZABETH",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockford, MI

Sources for this page

Verify at the official NPI Registry.