Individual provider Active NPI

Shannon Nicole Hepler

  • Nurse Practitioner
  • Marshall, MI
National Provider Identifier
1962035402
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704277919 Issued in MI
Practice address
1174 W Michigan Ave Ste B
Marshall, MI 49068-1625
Phone
(269) 789-4390
NPI assigned
Feb 12, 2020
Last updated
Apr 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4704277919 MI
Nurse Practitioner 363L00000X 4704277919 MI Primary

Addresses

Primary practice location

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

Mailing address

9839 Gavin LN
Battle Creek, MI 49014-7400
Phone (269) 924-9786

Other practice location 1

1521 Gull Rd
Kalamazoo, MI 49048-1640
Phone (269) 226-7000

Other practice location 2

302 N Monroe St Ste B
Albion, MI 49224-1765
Phone (517) 654-1020

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
I20210706002979 MI Practitioner - Nurse Practitioner 9436551918 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ella E M Brown Charitable CircleGroup PAC ID 1254228745, 172 clinicians

Practice addresses (Care Compare)

215 E Mansion St
1E Oaklawn Medical Group
Marshall, MI 49068-1559
Phone (269) 789-8272

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.06 of 100Reported as group
Quality
85.32
Promoting interoperability
100
Improvement activities
40
Cost
71.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704277919MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ella E M Brown Charitable Circle Nurse Practitioner CurrentSince Apr 28, 2023 Accepting new patients
Tecumseh Urgent Care and Walk-in Clinic PC CurrentSince May 19, 2022 Accepting new patients
Plainwell Urgent Care Walk-in Clinic PC CurrentSince May 19, 2022 Accepting new patients
Ella E M Brown Charitable Circle Current Accepting new patients
Main St Urgent Care Clinic and Walk in Clinic PC CurrentSince May 19, 2022 Accepting new patients
Battle Creek Urgent Care Walk in Clinic PC CurrentSince May 19, 2022 Accepting new patients
Chelsea Urgent Care Walk-in Clinic PC CurrentSince May 19, 2022 Accepting new patients
Ella E M Brown Charitable Circle PastSince Apr 30, 2023 Accepting new patients

Locations

905 N Main St
Adrian, MI 49221
Phone (517) 295-1066

302 N Monroe St
Ste B
Albion, MI 49224
Phone (517) 654-1020

2515 Capital Ave SW
Battle Creek, MI 49015
Phone (734) 720-6161

1301 S Main St
Chelsea, MI 48118
Phone (517) 577-6418

1174 W Michigan Ave
Ste B
Marshall, MI 49068
Phone (269) 789-4390

200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921

215 E Mansion St
Ste 1E
Marshall, MI 49068
Phone (269) 781-3938

1221 M 89
Ste 200
Plainwell, MI 49080
Phone (517) 662-3144

14671 Telegraph Rd
Redford, MI 48239
Phone (313) 387-2100

501 E Chicago Blvd
Tecumseh, MI 49286
Phone (517) 662-3144

Interoperability endpoints

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "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": []
}

Other providers in Marshall, MI

Sources for this page

Verify at the official NPI Registry.