Shc Medical Partners of Michigan, LLC
NPI 1316648587ActiveOrganization· Nurse Practitioner· Livonia, MI
Nurse Practitioner in Livonia, Michigan, registered in NPPES in March 2023. The authorized official on file is Angie Mattingly, Mgr Provider Enrollment. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1316648587 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 15, 2023 |
| Last updated in NPPES | May 19, 2026 |
| Certified by provider | May 19, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
Other Nurse Practitioner providers in Livonia
- 1588749410
- 1740620970
- 1083086482
- 1205397205
- 1003684598
- 1255301958
- 1316490493
- 1144050212
- 1124454251
- 1548881410
- 1659827376
- 1285181065