Shannon Nicole Hepler

Key facts

NPI

1962035402

Entity type

Individual (NPI type 1)

Primary specialty

Nurse Practitioner 363L00000X

License

4704277919 (MI)

Practice address

1174 W Michigan Ave Ste B
Marshall, MI 49068-1625

Phone

(269) 789-4390

NPI assigned

Feb 12, 2020

Sex

Female

Sole proprietor

No

Organizations & group practices 11

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.

• Ella E M Brown Charitable Circle Psychiatry Physician · Marshall, MI · NPI 1366591794
  Medicare reassignment Care Compare group NPD MI
• Battle Creek Urgent Care Walk in Clinic PC Urgent Care Clinic/Center · Battle Creek, MI · NPI 1700539251
  Medicare reassignment NPD MI
• Chelsea Urgent Care Walk-in Clinic PC Urgent Care Clinic/Center · Chelsea, MI · NPI 1811568272
  Medicare reassignment NPD MI
• Main St Urgent Care Clinic and Walk in Clinic PC Urgent Care Clinic/Center · Adrian, MI · NPI 1447825351
  Medicare reassignment NPD MI
• Plainwell Urgent Care Walk-in Clinic PC Urgent Care Clinic/Center · Plainwell, MI · NPI 1356014567
  Medicare reassignment NPD MI
• Tecumseh Urgent Care and Walk-in Clinic PC Urgent Care Clinic/Center · Tecumseh, MI · NPI 1245849298
  Medicare reassignment NPD MI
• Ella E M Brown Charitable Circle Diagnostic Radiology Physician · Marshall, MI · NPI 1043660467
  Care Compare group NPD NURSE PRACTITIONER
• Ella E M Brown Charitable Circle Certified Registered Nurse Anesthetist · Marshall, MI · NPI 1174672521
  Care Compare group NPD (past)
• Ella E M Brown Charitable Circle Community Based Hospice Care Agency · Marshall, MI · NPI 1407015019
  Care Compare group
• Ella E M Brown Charitable Circle Community/Retail Pharmacy · Marshall, MI · NPI 1487891800
  Care Compare group
• Ella E. M. Brown Charitable Circle General Acute Care Hospital · Marshall, MI · NPI 1861475360
  Care Compare group

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ella E. M. Brown Charitable Circle General Acute Care Hospital · Marshall, MI · NPI 1861475360
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ella E M Brown Charitable Circle (172 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Oaklawn Hospital Hospital · Marshall, MI · CCN 230217

Merit-based Incentive Payment System (MIPS)

Final score

87.06 of 100 (group)

Quality

85.32

Promoting interoperability

100

Improvement activities

40

Cost

71.56

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shannon.hepler.1@9698.direct.athenahealth.com
• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 24, 2023.

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1962035402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9839 GAVIN LN",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490147400",
            "telephone_number": "269-924-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1174 W MICHIGAN AVE STE B",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681625",
            "telephone_number": "269-789-4390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1521 Gull Rd",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490481640",
            "country_code": "US",
            "telephone_number": "269-226-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "302 N Monroe St Ste B",
            "address_purpose": "LOCATION",
            "city": "Albion",
            "state": "MI",
            "postal_code": "492241765",
            "country_code": "US",
            "telephone_number": "517-654-1020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEPLER",
        "first_name": "SHANNON",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704277919",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704277919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Marshall, MI · Nurse Practitioner in Michigan