Individual provider Active NPI

Shelly Renee Vliet, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Williamston, MI
National Provider Identifier
1992292353
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704273069 Issued in MI
Practice address
839 S Putnam St
Williamston, MI 48895-1623
Phone
(517) 655-3515
Fax
(855) 476-0189
NPI assigned
Apr 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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 4704273069 MI Primary

Addresses

Primary practice location

839 S Putnam St
Williamston, MI 48895-1623

Mailing address

3955 Patient Care Dr Ste a
Lansing, MI 48911-4271
Phone (517) 374-7600

Other practice location 1

321 E Harris St
Charlotte, MI 48813-1629
Phone (517) 541-5935

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
I20180904001491 MI Practitioner - Nurse Practitioner 8820348394 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
David J. Smith MD PCGroup PAC ID 2567431729, 16 clinicians

Practice addresses (Care Compare)

1035 Charlevoix Dr
Suite 100
Grand Ledge, MI 48837-2223
Phone (517) 627-2181

Hospital & facility affiliations

  • McLaren Greater Lansing Hospital, Lansing, MI, CCN 230167
  • Edward W Sparrow Hospital Hospital, Lansing, MI, CCN 230230
  • University of Michigan Health - Sparrow Eaton Hospital, Charlotte, MI, CCN 231327

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Internal Medicine Associates P.C. CurrentSince Oct 8, 2020 Accepting new patients
Edward W. Sparrow Hospital Association CurrentSince Sep 1, 2019 Accepting new patients
Sparrow Eaton Hospital CurrentSince Jul 28, 2018 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Sparrow Eaton Hospital CurrentSince Jul 28, 2018 Accepting new patients
David J. Smith MD PC Family CurrentSince Jul 7, 2025 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

321 E Harris St
Charlotte, MI 48813
Phone (517) 541-5840

616 Meijer Dr
Charlotte, MI 48813
Phone (517) 541-5935

111 Lansing St
Ste 110
Charlotte, MI 48813
Phone (517) 541-5855

1035 Charlevoix Dr
Ste 100
Grand Ledge, MI 48837
Phone (517) 622-6446

716 N Clippert St
Lansing, MI 48912
Phone (517) 253-4000

3955 Patient Care Dr
Ste A
Lansing, MI 48911
Phone (517) 374-7600

3955 Patient Care Dr
Lansing, MI 48911
Phone (517) 374-7600

800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900

839 S Putnam St
Williamston, MI 48895
Phone (517) 655-3515

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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": "1524182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1992292353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 PATIENT CARE DR STE A",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114271",
            "telephone_number": "517-374-7600",
            "fax_number": "885-480-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 S PUTNAM ST",
            "city": "WILLIAMSTON",
            "state": "MI",
            "postal_code": "488951623",
            "telephone_number": "517-655-3515",
            "fax_number": "855-476-0189"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 E Harris St",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "MI",
            "postal_code": "488131629",
            "country_code": "US",
            "telephone_number": "517-541-5935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VLIET",
        "first_name": "SHELLY",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-20",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704273069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamston, MI

Sources for this page

Verify at the official NPI Registry.