| Megan Marie Michelli, A-GNP-C | |
| 
					4270 S Broton Rd, Fruitport, MI 49415-8673  | |
| (231) 750-4591 | |
| Not Available | 
| Full Name | Megan Marie Michelli | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner | 
| Location | 4270 S Broton Rd, Fruitport, Michigan | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1811697758 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 4704268635 (Michigan) | Primary | 
| Entity Name | Mercy Physician Network | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1023056744 PECOS PAC ID: 8921996307 Enrollment ID: O20040308000687  | 
| Entity Name | Mercy Health Partners - Physician Specialist | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1922248772 PECOS PAC ID: 2163572991 Enrollment ID: O20090616000615  | 
| Entity Name | Advantage Health/saint Mary's Medical Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1376862151 PECOS PAC ID: 4082807961 Enrollment ID: O20101023000279  | 
| Entity Name | Mercy Health Partners | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1154910172 PECOS PAC ID: 1456430016 Enrollment ID: O20140415001839  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Megan Marie Michelli, A-GNP-C 4270 S Broton Rd, Fruitport, MI 49415-8673 Ph: (231) 750-4591  | Megan Marie Michelli, A-GNP-C 4270 S Broton Rd, Fruitport, MI 49415-8673 Ph: (231) 750-4591  | 
Delphia Croff, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3427 Farr Rd Ste B, Fruitport, MI 49415 Phone: 231-865-1625 Fax: 231-865-6212  | |
Susan Kay Ercia,  Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3427 Farr Rd Ste B, Fruitport, MI 49415 Phone: 231-865-7625 Fax: 231-865-6212  |