Individual provider Active NPI

Danielle Beckett-Shedd

  • Family Nurse Practitioner
  • Coldwater, MI
National Provider Identifier
1972015519
Registry record updated Nov 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704300428 Issued in MI
Practice address
370 E Chicago St
Coldwater, MI 49036-2062
Phone
(517) 279-5378
NPI assigned
Nov 3, 2017
Last updated
Nov 3, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704300428 MI Primary

Addresses

Primary practice location

370 E Chicago St
Coldwater, MI 49036-2062

Mailing address

1405 18 1/2 Mile Rd
Tekonsha, MI 49092-9790

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
I20180129000570 MI Practitioner - Nurse Practitioner 1759649817 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prompt Care Express PCGroup PAC ID 8921999319, 4 clinicians

Practice addresses (Care Compare)

274 E Chicago St
Coldwater, MI 49036-2041
Phone (517) 279-5400

892 E Chicago St
Suite C
Coldwater, MI 49036-2063
Phone (517) 278-2301

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704300428MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Branch County Current Accepting new patients
Community Health Center of Branch County CurrentSince Jan 24, 2018 Accepting new patients
Community Health Center of Branch County CurrentSince Jan 24, 2018 Accepting new patients
Community Health Center of Branch County Past Accepting new patients

Locations

235 E Chicago St
Coldwater, MI 49036
Phone (517) 279-8465

274 E Chicago St
Coldwater, MI 49036
Phone (517) 279-5400

370 E Chicago St
Coldwater, MI 49036
Phone (517) 279-5099

Interoperability endpoints

  • Direct secure messaging: dbeckettshedd152527@direct.promedica.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 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": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509667200000",
    "number": "1972015519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 18 1/2 MILE RD",
            "city": "TEKONSHA",
            "state": "MI",
            "postal_code": "490929790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 E CHICAGO ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490362062",
            "telephone_number": "517-279-5378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKETT-SHEDD",
        "first_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-03",
        "last_updated": "2017-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704300428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, MI

Sources for this page

Verify at the official NPI Registry.