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MS. CHRISTINE HOLLY SHANTRY ACNP
NPI 1295065951
Nurse Practitioner in Clinton Township, MI

Active since December 31, 2009PECOS Enrolled
15855 19 MILE RD, EMERGENCY DEPT, CLINTON TOWNSHIP, MI 48038(586) 263-2601(586) 263-2589 Get Directions Write a Review

NPPES record last updated: July 24, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Christine Holly Shantry Acnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. CHRISTINE HOLLY SHANTRY ACNP (NPI 1295065951) is an individual nurse practitioner in Clinton Township, Michigan, licensed in Michigan (4704226543) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295065951
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. CHRISTINE HOLLY SHANTRYCredential: ACNP
Location Address15855 19 MILE RD, EMERGENCY DEPTClinton Township, MI 48038-3504
Mailing Address38935 Ann Arbor RdLivonia, MI 48150-3397 · (734) 632-0175 · Fax (734) 632-0182
Phone(586) 263-2601
Fax(586) 263-2589
Sole ProprietorNo
Enumeration DateDecember 31, 2009
Last NPPES UpdateJuly 24, 2012
✔ NPI 1295065951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MI · 4704226543
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 4704226543 (MI)
15855 19 MILE RD, Clinton Township, MI 48038
Open in Google Maps ↗

Other Identifiers 1

Other12067480MI · Caqh

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Christine Holly Shantry Acnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Christine Shantry reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Department Physicians, P.C.
14 mi
Emergency Medicine
22101 MOROSS RD
Detroit, MI 48236
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Emergency Department Physicians PC
  • 237 clinicians in this Medicare group
NPI 1225083595 (313) 343-4000
Henry Ford Health System
18 mi
Nurse Practitioner
2799 W GRAND BLVD
Detroit, MI 48202
  • Reassigned Medicare billing, Michigan enrollment
  • 577 clinicians in this Medicare group
NPI 1104900455 (313) 916-2600
Professional Emergency Care, PC
27 mi
Emergency Medicine
15855 19 MILE RD
Clinton Township, MI 48038
  • Reassigned Medicare billing, Michigan enrollment
  • 16 clinicians in this Medicare group
NPI 1326235698 (586) 263-2601

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48038 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LEEANN WICKENS P.A.
Physician Assistant
15855 19 MILE RD
CLINTON TWP, MI 48038
Macomb County (586) 203-1940
CYNTHIA GEE D.O.
Emergency Medicine
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (701) 340-2053
SARAH E NELSON
Nurse Practitioner (Adult Health)
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (313) 623-7602
MS. KARA NICOLE SZCZOMAK PA-C
Physician Assistant
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 263-2601
EMILY SOPEL
Occupational Therapist
15855 19 MILE RD
CLINTON TWP, MI 48038
Macomb County (586) 263-2300
ANTONIO MACERI MD
Student in an Organized Health Care Education/Training Program
15855 19 MILE RD
CLINTON TOWNSHIP, MI 48038
Macomb County (586) 263-2300
HENRY FORD MACOMB HOSPITAL CORPORATION
General Acute Care Hospital
15855 19 MILE RD
CLINTON TWP, MI 48038
Macomb County (568) 263-2705
JEFFREY A BERG CRNA
Nurse Anesthetist, Certified Registered
15855 19 MILE RD
CLINTON TWP, MI 48038
Macomb County (586) 263-2370

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christine Shantry's NPI number?

The NPI number for Christine Shantry is 1295065951. It was assigned to this individual provider in the NPPES registry on December 31, 2009.

Where is Christine Shantry located?

Christine Shantry practices at 15855 19 Mile Rd Emergency Dept, Clinton Township, MI 48038. The listed phone number is (586) 263-2601.

What is Christine Shantry's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Christine Shantry enrolled in Medicare?

Yes. Christine Shantry is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Christine Shantry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Christine Shantry reassigns Medicare benefits to 3 organizations: Emergency Department Physicians, P.C. (Detroit, MI), Henry Ford Health System (Detroit, MI) and Professional Emergency Care, PC (Clinton Township, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Christine Shantry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Christine Shantry was last updated on July 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.