Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Michelle Anna Shoup

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1821973694

Michelle Anna Shoup is a Nurse Practitioner in Marshall, Michigan. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Michigan.

Years since qualifying
1
Licensed in
MI
In the registry since
2025

Practice location Address checks out

17475 H Dr S
Marshall, MI 49068-9230
Phone: (269) 967-3049
Fax: (269) 967-3049
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 4704293377NSA250MV (MI)

Record details

NPI number1821973694
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedAugust 9, 2025
Last updated in NPPESAugust 9, 2025
Certification dateAugust 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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