MELISSA J WIEGAND (NPI# 1174904429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174904429 |
| Entity Type | Individual |
| Full Name | MELISSA J WIEGAND |
| Credential | NP |
| Practice Address |
71 Bevier St Shelby MI 49455-1209 |
| Mailing Address |
Po Box 1848 Muskegon MI 49443-1848 |
| Practice Telephone | 2318612187 |
| Practice Fax Number | 2318615100 |
| Mailing Telephone | 2317275211 |
| Mailing Fax Number | 2317284789 |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2018-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704230188 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 905 E Colby St, Whitehall, MI 494611262 | 2317285910 | 2317285918 |
| Street Address |
71 BEVIER ST |
| City | SHELBY |
| State | MI |
| Zip Code | 49455-1209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780675579 | Julie A Shellhouse | Family Medicine | 71 Bevier St, Shelby, MI 49455 | 2005-11-02 |
| 1184264327 | Daniel James Erickson | Physician Assistant | 71 Bevier St, Shelby, MI 49455-1209 | 2020-01-15 |
| 1982134482 | Christopher Charles Wagner | Family Medicine | 71 Bevier St, Shelby, MI 49455-1209 | 2017-06-16 |
| 1083160246 | Melvin Michael Vallette | Nurse Practitioner | 71 Bevier St, Shelby, MI 49455-1209 | 2016-08-28 |
| 1588080030 | Mercy Health Partners | Clinic/Center | 71 Bevier St, Shelby, MI 49455-1209 | 2014-03-07 |
| 1700201712 | Mercy Health Partners | Surgery | 71 Bevier St, Shelby, MI 49455-1209 | 2014-02-27 |
| 1093144123 | Ann Marie Nienhuis | Nurse Practitioner | 71 Bevier St, Shelby, MI 49455-1209 | 2013-11-08 |
| 1770863839 | Lakeshore Community Hospital Inc | Family Medicine | 71 Bevier St, Shelby, MI 49455-1209 | 2011-08-22 |
| 1467732537 | Lakeshore Community Hospital, Inc. | Family Medicine | 71 Bevier St, Shelby, MI 49455-1239 | 2011-08-22 |
| 1407099393 | Lakeshore Community Hospital, Inc | Clinic/Center | 71 Bevier St, Shelby, MI 49455-1239 | 2009-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013243369 | Rick R. Dayton, Dds PC | Dentist | 218 N. State St., Shelby, MI 49455 | 2009-10-21 |
| 1568499721 | Curtis G Glupker | Specialist | 71 Bevier Street, Shelby, MI 49455 | 2006-06-26 |
| 1356367783 | Oceana Home Medical Equipment Plus | Durable Medical Equipment & Medical Supplies | 169 N Michigan Ave, Shelby, MI 49455-1024 | 2006-07-15 |
| 1215014311 | Hometown Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 178 N Michigan Ave, Shelby, MI 49455-1028 | 2006-11-01 |
| 1912943663 | Susan K Radtke | Nurse Practitioner | 218 N Michigan Ave, Shelby, MI 49455-1028 | 2006-06-21 |
| 1912221771 | James W Pancy | Pharmacist | 178 N Michigan Ave, Shelby, MI 49455-1028 | 2010-03-23 |
| 1184840084 | Fred F Grice Jr. | Pharmacist | 178 N Michigan Ave, Shelby, MI 49455-1028 | 2007-04-18 |
| 1891818985 | Lori Ann Kleinjans | Pharmacist | 178 N Michigan Ave, Shelby, MI 49455-1028 | 2007-04-06 |
| 1598806242 | Rebecca Lynn Smith | Pharmacy Technician | 178 N Michigan Ave, Shelby, MI 49455-1028 | 2007-02-08 |
| 1518020585 | Hpcn | Family Medicine | 218 N Michigan Ave, Shelby, MI 49455-1028 | 2006-12-19 |
| Find all providers in zip 49455 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881233211 | Jason Christopher Maston | Nurse Practitioner | 2960 Laura Rd, Shelby, NC 28150-9315 | 2020-01-02 |
| 1578043683 | English Holly Rex | Nurse Practitioner | 268 Elliott St, Shelby, MI 49455-9103 | 2018-08-17 |
| 1871017475 | Brianna Sampsel | Nurse Practitioner | 199 W Main St Fl 2, Shelby, OH 44875-1490 | 2017-07-26 |
| 1578963765 | Lucy Mcdaniel | Nurse Practitioner | 200 South Post Road, Shelby, NC 28152 | 2014-08-26 |
| 1932483252 | Cynthia Ann Johnson | Nurse Practitioner | 1124 N. Washington Street, Shelby, NC 28150-3862 | 2011-10-05 |
| 1700965118 | Ronald Ray | Nurse Practitioner | 325 5th St S, Shelby, MT 59474-2520 | 2006-11-04 |
| 1528054152 | Brad Vance Gardner | Nurse Practitioner | 520 N Dekalb St, Suite B, Shelby, NC 28150-4188 | 2005-09-20 |
| 1881292852 | Kandace Victoria Smart | Nurse Practitioner | 113 E Grover St, Shelby, NC 28150-3803 | 2020-10-13 |
| 1831797182 | Emily J Brewster | Nurse Practitioner | 110 Auburn Ave, Shelby, OH 44875-1171 | 2020-10-09 |
| 1053927582 | Brittni Wyatt | Nurse Practitioner | 808 Schenck St, Shelby, NC 28150-3934 | 2020-09-21 |
| Find all providers in SHELBY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.