Individual provider Active NPI

Marguerite Stadt Sellers, NP

  • Nurse Practitioner
  • Grand Rapids, MI
National Provider Identifier
1992112999
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704257220 Issued in MI
Practice address
1000 East Paris Ave SE Ste 100
Grand Rapids, MI 49546
Phone
(616) 459-3158
Fax
(616) 742-6758
NPI assigned
Jul 22, 2014
Last updated
Nov 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704257220 MI Primary

Addresses

Primary practice location

1000 East Paris Ave SE Ste 100
Grand Rapids, MI 49546

Mailing address

1000 East Paris Ave SE Ste 100
Grand Rapids, MI 49546-3680
Phone (616) 459-3158

Other practice location 1

1900 Wealthy St SE
Suite 150
Grand Rapids, MI 49506-2969
Phone (616) 459-3158

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704257220MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice of Muskegon County, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: margueritesellers@gvmsplc.allscriptsdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1992112999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 EAST PARIS AVE SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463680",
            "telephone_number": "616-459-3158",
            "fax_number": "616-742-6758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EAST PARIS AVE SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49546",
            "telephone_number": "616-459-3158",
            "fax_number": "616-742-6758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Wealthy St SE",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495062969",
            "country_code": "US",
            "telephone_number": "616-459-3158",
            "fax_number": "616-988-0071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELLERS",
        "first_name": "MARGUERITE",
        "middle_name": "STADT",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704257220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.